Provider Demographics
NPI:1780425629
Name:HUGHES, BRANDI (RPH)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 PUKIHAE ST APT 502
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2404
Mailing Address - Country:US
Mailing Address - Phone:808-489-2938
Mailing Address - Fax:
Practice Address - Street 1:555 KILAUEA AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3011
Practice Address - Country:US
Practice Address - Phone:808-935-9075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-5059-0183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist