Provider Demographics
NPI:1477993012
Name:ANNAS, LAUREN JESSICA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:JESSICA
Last Name:ANNAS
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 1:1460 MAY RD
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28630-9230
Mailing Address - Country:US
Mailing Address - Phone:828-781-5508
Mailing Address - Fax:
Practice Address - Street 1:8450 BELLHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-6103
Practice Address - Country:US
Practice Address - Phone:704-392-1369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23289183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist