Provider Demographics
NPI:1942440326
Name:HUGHES, RONALD ORVILLE (CPHT)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:ORVILLE
Last Name:HUGHES
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:RONALD
Other - Middle Name:ORVILLE
Other - Last Name:HAACK
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:CPHT
Mailing Address - Street 1:625 W MCKELLIPS RD
Mailing Address - Street 2:MH22
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-1245
Mailing Address - Country:US
Mailing Address - Phone:480-688-7525
Mailing Address - Fax:480-833-3190
Practice Address - Street 1:1322 S COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-5130
Practice Address - Country:US
Practice Address - Phone:480-831-6585
Practice Address - Fax:480-827-0022
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician