Provider Demographics
NPI:1386343853
Name:MAGHARIOUS, NANCY M
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:MAGHARIOUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 HYDE PARK CIR
Mailing Address - Street 2:
Mailing Address - City:UXBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01569-2170
Mailing Address - Country:US
Mailing Address - Phone:781-528-3155
Mailing Address - Fax:
Practice Address - Street 1:243 CHAUNCY ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-1247
Practice Address - Country:US
Practice Address - Phone:508-337-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH241347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist