Provider Demographics
NPI:1790029155
Name:ANOLIN, ANNA MARIE GARCIA (RPH)
Entity Type:Individual
Prefix:
First Name:ANNA MARIE
Middle Name:GARCIA
Last Name:ANOLIN
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 1:2580 WOODRUFF RD
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-5447
Mailing Address - Country:US
Mailing Address - Phone:864-627-7229
Mailing Address - Fax:864-627-7765
Practice Address - Street 1:2580 WOODRUFF RD
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-5447
Practice Address - Country:US
Practice Address - Phone:864-627-7229
Practice Address - Fax:864-627-7765
Is Sole Proprietor?:No
Enumeration Date:2012-11-23
Last Update Date:2012-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC011421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist