Provider Demographics
NPI:1043635204
Name:PERKINS, HUGH (PD)
Entity type:Individual
Prefix:
First Name:HUGH
Middle Name:
Last Name:PERKINS
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-2316
Mailing Address - Country:US
Mailing Address - Phone:501-758-7581
Mailing Address - Fax:501-758-8503
Practice Address - Street 1:2520 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-2316
Practice Address - Country:US
Practice Address - Phone:501-758-7581
Practice Address - Fax:501-758-8503
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD06357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist