Provider Demographics
NPI:1992862775
Name:HUG, KATHRYN A (RPH)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:A
Last Name:HUG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:A
Other - Last Name:HUG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:9078 E SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8250
Mailing Address - Country:US
Mailing Address - Phone:303-841-3115
Mailing Address - Fax:303-841-3115
Practice Address - Street 1:361 INVERNESS DR S
Practice Address - Street 2:SUITE F
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5860
Practice Address - Country:US
Practice Address - Phone:303-799-6550
Practice Address - Fax:303-799-6550
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO12565OtherPHARMACIST LICENSE