Provider Demographics
NPI:1942507215
Name:LYBRAND, ANNA C (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:C
Last Name:LYBRAND
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 1:127 RUTHERFORD ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-5941
Mailing Address - Country:US
Mailing Address - Phone:843-729-9984
Mailing Address - Fax:
Practice Address - Street 1:1360 TRUXTUN AVE STE 300
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-2045
Practice Address - Country:US
Practice Address - Phone:843-456-4350
Practice Address - Fax:843-823-3549
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist