Provider Demographics
NPI:1265099683
Name:MCHUGH, ALEXANDRIA ANNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:ANNE
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:ANNE
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 E BARNETT RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501
Mailing Address - Country:US
Mailing Address - Phone:562-547-1068
Mailing Address - Fax:
Practice Address - Street 1:210 E BARNETT RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501
Practice Address - Country:US
Practice Address - Phone:541-858-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0017113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist