Provider Demographics
NPI:1659972610
Name:HUFF, JOHN D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:HUFF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1433 S SAM HOUSTON BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:MO
Mailing Address - Zip Code:65483-2131
Mailing Address - Country:US
Mailing Address - Phone:417-967-4521
Mailing Address - Fax:417-967-3598
Practice Address - Street 1:1433 S SAM HOUSTON BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:MO
Practice Address - Zip Code:65483-2131
Practice Address - Country:US
Practice Address - Phone:417-967-4521
Practice Address - Fax:417-967-3598
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009023443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist