Provider Demographics
NPI:1225313554
Name:PILLAI, ANITA S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:S
Last Name:PILLAI
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 1:1815 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-4136
Mailing Address - Country:US
Mailing Address - Phone:248-546-6572
Mailing Address - Fax:248-546-7775
Practice Address - Street 1:1815 ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-4136
Practice Address - Country:US
Practice Address - Phone:248-546-6572
Practice Address - Fax:248-546-7775
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020340821835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist