Provider Demographics
NPI:1215213848
Name:ANOSIKE, ESTHER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:
Last Name:ANOSIKE
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 1:6665 HIGHWAY 85
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2346
Mailing Address - Country:US
Mailing Address - Phone:770-907-6934
Mailing Address - Fax:770-907-6940
Practice Address - Street 1:6665 HIGHWAY 85
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2346
Practice Address - Country:US
Practice Address - Phone:770-907-6934
Practice Address - Fax:770-907-6940
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0244761835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist