Provider Demographics
NPI:1255614350
Name:HUBKEY, BELINDA ELAINE
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:ELAINE
Last Name:HUBKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1342 US HIGHWAY 395 N
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-5309
Mailing Address - Country:US
Mailing Address - Phone:775-782-0537
Mailing Address - Fax:775-783-1973
Practice Address - Street 1:1342 US HIGHWAY 395 N
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410-5309
Practice Address - Country:US
Practice Address - Phone:775-782-0537
Practice Address - Fax:775-783-1973
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV15310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist