Provider Demographics
NPI:1104286665
Name:LUNGOCIU, NICHOLAS ARTHUR (PHARMD)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:ARTHUR
Last Name:LUNGOCIU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W. 10TH AVENUE
Mailing Address - Street 2:368 DOAN HALL-DEPARTMENT OF PHARMACY
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210
Mailing Address - Country:US
Mailing Address - Phone:614-293-5874
Mailing Address - Fax:614-293-6350
Practice Address - Street 1:410 W 10TH AVE
Practice Address - Street 2:368 DOAN HALL-DEPARTMENT OF PHARMACY
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-5874
Practice Address - Fax:614-293-6350
Is Sole Proprietor?:No
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03325866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist