Provider Demographics
NPI:1346555885
Name:TOBIA, NANCY L (RPH)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:TOBIA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 ROUTE 70
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-4024
Mailing Address - Country:US
Mailing Address - Phone:732-477-6733
Mailing Address - Fax:732-477-8221
Practice Address - Street 1:668 ROUTE 70
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-4024
Practice Address - Country:US
Practice Address - Phone:732-477-6733
Practice Address - Fax:732-477-8221
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01936100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist