Provider Demographics
NPI:1033480371
Name:ANCHERY, BINI (PHARM D)
Entity Type:Individual
Prefix:
First Name:BINI
Middle Name:
Last Name:ANCHERY
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 1:20014 DAYTONA WAY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3295
Mailing Address - Country:US
Mailing Address - Phone:954-579-8459
Mailing Address - Fax:
Practice Address - Street 1:20014 DAYTONA WAY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3295
Practice Address - Country:US
Practice Address - Phone:954-579-8459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL46031183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist