Provider Demographics
NPI:1871037499
Name:HUGHES, INGRID (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:INGRID
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:INGRID
Other - Middle Name:
Other - Last Name:LAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:901 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584
Mailing Address - Country:US
Mailing Address - Phone:360-426-1611
Mailing Address - Fax:360-427-5772
Practice Address - Street 1:901 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584
Practice Address - Country:US
Practice Address - Phone:360-426-1611
Practice Address - Fax:360-427-5772
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-16
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60223844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist