Provider Demographics
NPI:1982204301
Name:NEMEC, ANNA M (RPH)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:NEMEC
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 1:61 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1901
Mailing Address - Country:US
Mailing Address - Phone:440-479-3180
Mailing Address - Fax:
Practice Address - Street 1:8160 MACEDONIA COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1843
Practice Address - Country:US
Practice Address - Phone:330-468-0110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03123167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist