Provider Demographics
NPI:1396000741
Name:EUDY, ANNE E (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:EUDY
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 1:1325 GARFIELD ST
Mailing Address - Street 2:APT 311
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2758
Mailing Address - Country:US
Mailing Address - Phone:704-574-0449
Mailing Address - Fax:
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-399-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist