Provider Demographics
NPI:1588176804
Name:SPERA, ANTHONY NICHOLAS (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:NICHOLAS
Last Name:SPERA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 ROUTE 376 STE 1
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-4006
Mailing Address - Country:US
Mailing Address - Phone:845-221-3750
Mailing Address - Fax:
Practice Address - Street 1:413 ROUTE 376 STE 1
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-4006
Practice Address - Country:US
Practice Address - Phone:845-221-3750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-26
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063482183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist