Provider Demographics
NPI:1588017867
Name:SPRAIN, ANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:SPRAIN
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 1:12560 WEXCROFT LN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-8761
Mailing Address - Country:US
Mailing Address - Phone:678-949-0034
Mailing Address - Fax:
Practice Address - Street 1:1112 KEY PLZ
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4076
Practice Address - Country:US
Practice Address - Phone:305-295-8050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS53993183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist