Healthcare Provider Details

I. General information

NPI: 1285952986
Provider Name (Legal Business Name): NANCY LUBRANO HUGHES RPH,CCP,CIP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2010
Last Update Date: 05/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1147 COOPER ST
EDGEWATER PARK NJ
08010-2558
US

IV. Provider business mailing address

41 CORNELL DR
DELRAN NJ
08075-1734
US

V. Phone/Fax

Practice location:
  • Phone: 609-877-0013
  • Fax: 609-877-4902
Mailing address:
  • Phone: 856-461-8810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01696100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP033229R
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: