Provider Demographics
NPI:1821267881
Name:KIRK, ANNELI (RPH)
Entity Type:Individual
Prefix:MS
First Name:ANNELI
Middle Name:
Last Name:KIRK
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 1:93 COOPER RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-6103
Mailing Address - Country:US
Mailing Address - Phone:203-438-1890
Mailing Address - Fax:
Practice Address - Street 1:100 TRIANGLE CTR
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4134
Practice Address - Country:US
Practice Address - Phone:914-962-0534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist