Provider Demographics
NPI:1952642456
Name:DUGGAN, NANCY (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:MI
Mailing Address - Zip Code:48457-9004
Mailing Address - Country:US
Mailing Address - Phone:810-639-2071
Mailing Address - Fax:810-639-6179
Practice Address - Street 1:225 E STATE ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:MI
Practice Address - Zip Code:48457-9004
Practice Address - Country:US
Practice Address - Phone:810-639-2071
Practice Address - Fax:810-639-6179
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302018785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist