Provider Demographics
NPI:1760776850
Name:MCHUGH, ANGELA DEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:DEE
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4380 LAWEHANA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-3137
Mailing Address - Country:US
Mailing Address - Phone:808-441-3119
Mailing Address - Fax:
Practice Address - Street 1:4380 LAWEHANA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-3137
Practice Address - Country:US
Practice Address - Phone:808-441-3119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH2649183500000X
MEPR5468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist