Provider Demographics
NPI:1659612497
Name:NUHAJ, NITA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NITA
Middle Name:
Last Name:NUHAJ
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 1:37 LUPINE DR
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:ME
Mailing Address - Zip Code:04917-3701
Mailing Address - Country:US
Mailing Address - Phone:508-847-3583
Mailing Address - Fax:
Practice Address - Street 1:403 WATER ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-4667
Practice Address - Country:US
Practice Address - Phone:207-629-9401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPI12530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist