Randy Halvor Hude, PHARM.D.
Individual provider Active NPI Pharmacist · Washougal, WA
NPI 1003134487 · NPPES record last updated Sep 13, 2013
Key facts
- NPI
- 1003134487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH60095958 (WA)
- Practice address
- 3307 Evergreen Way Ste 5
Washougal, WA 98671-2063 - Phone
- (360) 335-2006
- Fax
- (360) 335-2008
- NPI assigned
- May 11, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60095958 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60095958 | WA | Yes |
Addresses
Primary practice location
3307 Evergreen Way Ste 5
Washougal, WA 98671-2063
Mailing address
3307 Evergreen Way Ste 5
Washougal, WA 98671-2063
Phone (360) 335-2006
Other providers in Washougal, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.