Provider Demographics
NPI:1790559169
Name:ANNORZIE, JANE CHIOMA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:CHIOMA
Last Name:ANNORZIE
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 1:1204 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-3200
Mailing Address - Country:US
Mailing Address - Phone:908-546-5041
Mailing Address - Fax:
Practice Address - Street 1:1204 PARK AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-3200
Practice Address - Country:US
Practice Address - Phone:908-546-5041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04338400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist