Provider Demographics
NPI:1821849191
Name:HUBBARD, MARIAKATHERINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARIAKATHERINE
Middle Name:
Last Name:HUBBARD
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 1:10 MASTER ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:07416-1520
Mailing Address - Country:US
Mailing Address - Phone:973-903-9205
Mailing Address - Fax:
Practice Address - Street 1:140 STATE RT 23
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NJ
Practice Address - Zip Code:07416-2002
Practice Address - Country:US
Practice Address - Phone:973-209-4453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04192900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist