Provider Demographics
NPI:1356660062
Name:BUCO, ANDRIA MARIE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANDRIA
Middle Name:MARIE
Last Name:BUCO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 DRUID HILL AVENUE
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844
Mailing Address - Country:US
Mailing Address - Phone:401-578-7669
Mailing Address - Fax:
Practice Address - Street 1:31 GARDEN RD
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865
Practice Address - Country:US
Practice Address - Phone:603-382-9217
Practice Address - Fax:603-382-8627
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR2125183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist