Healthcare Provider Details

I. General information

NPI: 1104292382
Provider Name (Legal Business Name): NANCY ANN HUFF PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2015
Last Update Date: 12/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPT OF PHARMACY 41 MALL RD
BURLINGTON MA
01805-1011
US

IV. Provider business mailing address

DEPT OF PHARMACY 41 MALL RD
BURLINGTON MA
01805-0001
US

V. Phone/Fax

Practice location:
  • Phone: 781-744-5077
  • Fax: 781-744-5446
Mailing address:
  • Phone: 781-744-5077
  • Fax: 781-744-5446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH18613
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPR45323
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: