Provider Demographics
NPI:1902205511
Name:BAILEY, ANNE LORD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:LORD
Last Name:BAILEY
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 1:103 TEMPLE RD APT 1
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-9490
Mailing Address - Country:US
Mailing Address - Phone:803-873-1438
Mailing Address - Fax:
Practice Address - Street 1:540 NC HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-3829
Practice Address - Country:US
Practice Address - Phone:828-669-2216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24137183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist