Provider Demographics
NPI:1598822439
Name:RAINES, ANNA MICHELE (RPH,CDE)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MICHELE
Last Name:RAINES
Suffix:
Gender:F
Credentials:RPH,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 N GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-4323
Mailing Address - Country:US
Mailing Address - Phone:940-665-0358
Mailing Address - Fax:940-665-4102
Practice Address - Street 1:411 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-4323
Practice Address - Country:US
Practice Address - Phone:940-665-0358
Practice Address - Fax:940-665-4102
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32691183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist