Provider Demographics
NPI:1841840592
Name:HUDGINS, TINA (PHARMD)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:HUDGINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 MCDONALD RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8717
Mailing Address - Country:US
Mailing Address - Phone:502-381-0658
Mailing Address - Fax:
Practice Address - Street 1:841 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2404
Practice Address - Country:US
Practice Address - Phone:828-225-5113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-15
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist