Provider Demographics
NPI:1639621725
Name:HUGHES, AMY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 N 5TH WEST ST
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-4129
Mailing Address - Country:US
Mailing Address - Phone:307-389-5733
Mailing Address - Fax:
Practice Address - Street 1:2531 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-4744
Practice Address - Country:US
Practice Address - Phone:307-362-1841
Practice Address - Fax:307-382-2197
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY3939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist