Provider Demographics
NPI:1942515978
Name:KYGER, ANNIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:
Last Name:KYGER
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 1:647 W BASELINE RD
Mailing Address - Street 2:1018
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-5058
Mailing Address - Country:US
Mailing Address - Phone:812-709-0158
Mailing Address - Fax:
Practice Address - Street 1:975 E OCOTILLO RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-3013
Practice Address - Country:US
Practice Address - Phone:480-214-1367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-14
Last Update Date:2010-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017554183500000X
IN26022850A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist