Provider Demographics
NPI:1689205700
Name:HUGHES, WARREN LANCE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:LANCE
Last Name:HUGHES
Suffix:
Gender:M
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 1:4201 N BELT HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-1299
Mailing Address - Country:US
Mailing Address - Phone:816-617-6910
Mailing Address - Fax:816-232-4570
Practice Address - Street 1:4201 N BELT HWY
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-1299
Practice Address - Country:US
Practice Address - Phone:816-233-7770
Practice Address - Fax:816-232-4570
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20030271081835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2003027108OtherSTATE PHARMACY LICENSE