Healthcare Provider Details

I. General information

NPI: 1801230503
Provider Name (Legal Business Name): CHARNICIA E. HUGGINS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 GRAND CONCOURSE PHARMACY - BASEMENT
BRONX NY
10457-7606
US

IV. Provider business mailing address

1650 GRAND CONCOURSE PHARMACY BASEMENT
BRONX NY
10457-7606
US

V. Phone/Fax

Practice location:
  • Phone: 718-518-5720
  • Fax:
Mailing address:
  • Phone: 718-518-5720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number053767
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: