Provider Demographics
NPI:1407492838
Name:VAITH, ANNA CHRISTINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:CHRISTINE
Last Name:VAITH
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 1:10 OAK AVE NE # 112
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:MN
Mailing Address - Zip Code:55967-8832
Mailing Address - Country:US
Mailing Address - Phone:507-378-4621
Mailing Address - Fax:
Practice Address - Street 1:10 OAK AVE NE # 112
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:MN
Practice Address - Zip Code:55967-8832
Practice Address - Country:US
Practice Address - Phone:507-378-4621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer