Provider Demographics
NPI:1821595570
Name:ANAGHO, SOLA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SOLA
Middle Name:
Last Name:ANAGHO
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:CMR 480 BOX 1867
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09128-0019
Mailing Address - Country:US
Mailing Address - Phone:910-554-5916
Mailing Address - Fax:
Practice Address - Street 1:UNIT 30401
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09107-0401
Practice Address - Country:US
Practice Address - Phone:314-590-1633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist