Provider Demographics
NPI:1679556773
Name:HUGHES, CAREN LEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CAREN
Middle Name:LEE
Last Name:HUGHES
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 1:4500 SAN PABLO RD S
Mailing Address - Street 2:E-MAIL: [email protected]
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-1865
Mailing Address - Country:US
Mailing Address - Phone:904-296-3883
Mailing Address - Fax:904-296-4092
Practice Address - Street 1:4500 SAN PABLO RD S
Practice Address - Street 2:E-MAIL: [email protected]
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-1865
Practice Address - Country:US
Practice Address - Phone:904-296-3883
Practice Address - Fax:904-296-4092
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist