Provider Demographics
NPI:1417648361
Name:ARMENTI, ANNA MARIE
Entity Type:Individual
Prefix:
First Name:ANNA MARIE
Middle Name:
Last Name:ARMENTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 JACLYN RAE DR
Mailing Address - Street 2:
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-3372
Mailing Address - Country:US
Mailing Address - Phone:508-713-2873
Mailing Address - Fax:
Practice Address - Street 1:11 JACLYN RAE DR
Practice Address - Street 2:
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-3372
Practice Address - Country:US
Practice Address - Phone:508-713-2873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19849183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist