Provider Demographics
NPI:1033392964
Name:MCHUGH, ANDREW GERALD (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:GERALD
Last Name:MCHUGH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S JAMES ST.
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440
Mailing Address - Country:US
Mailing Address - Phone:315-339-9380
Mailing Address - Fax:315-339-9386
Practice Address - Street 1:201 S JAMES ST
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440
Practice Address - Country:US
Practice Address - Phone:315-339-9380
Practice Address - Fax:315-339-9386
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048176183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02959259Medicaid