# PHUSION RX \#102, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Phusion Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215353586
- **Authorized official:** DR. DAVID CHARLES HUGHES PHARM.D. (CEO & PRESIDENT)
- **Authorized official phone:** (855) 748-7466

## Contact information

- **Practice address:** 42 LADD ST, UNIT \#208, EAST GREENWICH, RI 02818-4361
- **Practice address phone:** (855) 748-7466
- **Mailing address:** 42 LADD ST, UNIT \#208, EAST GREENWICH, RI 02818-4361
- **Mailing address phone:** (855) 748-7466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/11/2014
- **Last updated:** 12/23/2014