Provider Demographics
NPI:1225631682
Name:BIO, ANZEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANZEL
Middle Name:
Last Name:BIO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 CHESTNUT ST APT 1026
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5142
Mailing Address - Country:US
Mailing Address - Phone:215-687-6040
Mailing Address - Fax:
Practice Address - Street 1:1046 MARKET ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4205
Practice Address - Country:US
Practice Address - Phone:215-592-1543
Practice Address - Fax:215-592-1536
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist