Provider Demographics
NPI:1730497397
Name:VINING, ANNE WARE (RPH)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:WARE
Last Name:VINING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 WHISPERING PINES DR
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-8949
Mailing Address - Country:US
Mailing Address - Phone:318-377-8143
Mailing Address - Fax:
Practice Address - Street 1:1405 WHISPERING PINES DR
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-8949
Practice Address - Country:US
Practice Address - Phone:318-377-8143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16686183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist