Provider Demographics
NPI:1457956617
Name:EDWARDS, NANCY U (PHARMD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:U
Last Name:EDWARDS
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 1:150 HEARD ST APT 437
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-1988
Mailing Address - Country:US
Mailing Address - Phone:512-964-3936
Mailing Address - Fax:
Practice Address - Street 1:231 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-3500
Practice Address - Country:US
Practice Address - Phone:617-266-6775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX575670183500000X
MAPH238675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist