Provider Demographics
NPI:1104292382
Name:HUFF, NANCY ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:HUFF
Suffix:
Gender:F
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:DEPT OF PHARMACY 41 MALL RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01805-0001
Mailing Address - Country:US
Mailing Address - Phone:781-744-5077
Mailing Address - Fax:781-744-5446
Practice Address - Street 1:DEPT OF PHARMACY 41 MALL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-1011
Practice Address - Country:US
Practice Address - Phone:781-744-5077
Practice Address - Fax:781-744-5446
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH18613183500000X
MEPR45323183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist