Provider Demographics
NPI:1629351283
Name:DANG, LUCY U (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:U
Last Name:DANG
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 1:1228 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-4194
Mailing Address - Country:US
Mailing Address - Phone:781-233-6768
Mailing Address - Fax:781-233-4210
Practice Address - Street 1:1228 BROADWAY
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-4194
Practice Address - Country:US
Practice Address - Phone:781-233-6768
Practice Address - Fax:781-233-4210
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25729183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist