Provider Demographics
NPI:1649592031
Name:ANOZIE, PATRICIA IFEYINWA (B PHARM)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:IFEYINWA
Last Name:ANOZIE
Suffix:
Gender:F
Credentials:B PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 E MARKET ST
Mailing Address - Street 2:CVS PHARMACY
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1606
Mailing Address - Country:US
Mailing Address - Phone:845-876-1402
Mailing Address - Fax:845-876-1410
Practice Address - Street 1:48 E MARKET ST
Practice Address - Street 2:CVS PHARMACY
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1606
Practice Address - Country:US
Practice Address - Phone:845-876-1402
Practice Address - Fax:845-876-1410
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist