Provider Demographics
NPI:1184953853
Name:WASHINGTON, ANN SYLVIA
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:SYLVIA
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23110 ALDINE WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7738
Mailing Address - Country:US
Mailing Address - Phone:281-350-5311
Mailing Address - Fax:281-350-1791
Practice Address - Street 1:23110 ALDINE WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-7738
Practice Address - Country:US
Practice Address - Phone:281-350-5311
Practice Address - Fax:281-350-1791
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist