Provider Demographics
NPI:1740027291
Name:HUDSON, BROOKE COLLEEN
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:COLLEEN
Last Name:HUDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:COLLEEN
Other - Last Name:HALFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:68 SHERWOOD LOOP # 2
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4925
Mailing Address - Country:US
Mailing Address - Phone:870-512-9204
Mailing Address - Fax:
Practice Address - Street 1:2007 W BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-5014
Practice Address - Country:US
Practice Address - Phone:501-305-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD16900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist