Provider Demographics
NPI:1568568061
Name:COLON, ANA E (LIC PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:E
Last Name:COLON
Suffix:
Gender:F
Credentials:LIC PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 5081
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-9700
Mailing Address - Country:US
Mailing Address - Phone:787-867-2421
Mailing Address - Fax:787-867-2380
Practice Address - Street 1:HC 1 BOX 5081
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-9700
Practice Address - Country:US
Practice Address - Phone:787-867-2421
Practice Address - Fax:787-867-2380
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist