Provider Demographics
NPI:1235476839
Name:CHAPMAN, ANNA TAYLOR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:TAYLOR
Last Name:CHAPMAN
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 1:1512 HIGHWAY 74 N
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:GA
Mailing Address - Zip Code:30290-1663
Mailing Address - Country:US
Mailing Address - Phone:770-774-2787
Mailing Address - Fax:
Practice Address - Street 1:1512 HIGHWAY 74 N
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:GA
Practice Address - Zip Code:30290-1663
Practice Address - Country:US
Practice Address - Phone:770-774-2787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH021311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist