Provider Demographics
NPI:1972171031
Name:SALINAS, ANNA MARIE (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:SALINAS
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2293 DALE RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:MI
Mailing Address - Zip Code:48612-9127
Mailing Address - Country:US
Mailing Address - Phone:989-802-9049
Mailing Address - Fax:
Practice Address - Street 1:2293 DALE RD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:MI
Practice Address - Zip Code:48612-9127
Practice Address - Country:US
Practice Address - Phone:989-802-9049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303021401183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician