Provider Demographics
NPI:1801407085
Name:INSLEY, ANNA (PHARMD , RPH)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:INSLEY
Suffix:
Gender:F
Credentials:PHARMD , RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MN-65
Mailing Address - Street 2:INPATIENT PHARMACY
Mailing Address - City:MORA
Mailing Address - State:MN
Mailing Address - Zip Code:55051
Mailing Address - Country:US
Mailing Address - Phone:320-225-3597
Mailing Address - Fax:
Practice Address - Street 1:301 MN-65
Practice Address - Street 2:INPATIENT PHARMACY
Practice Address - City:MORA
Practice Address - State:MN
Practice Address - Zip Code:55051
Practice Address - Country:US
Practice Address - Phone:320-225-3597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN124752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist