Provider Demographics
NPI:1649559568
Name:NAYAR, ANITA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:NAYAR
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 1:78 OLIVE ST
Mailing Address - Street 2:APT. 212
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6981
Mailing Address - Country:US
Mailing Address - Phone:973-219-2227
Mailing Address - Fax:
Practice Address - Street 1:78 OLIVE STREET
Practice Address - Street 2:APT. 212
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:973-219-2227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0012055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist