Provider Demographics
NPI:1023241270
Name:ANAYA, LIONEL CHRIS (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:LIONEL
Middle Name:CHRIS
Last Name:ANAYA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 BLUFFSIDE PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87105-1001
Mailing Address - Country:US
Mailing Address - Phone:505-836-4842
Mailing Address - Fax:
Practice Address - Street 1:9700 CENTRAL AVE SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-7631
Practice Address - Country:US
Practice Address - Phone:505-833-7598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2010-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM183500000X183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist