Provider Demographics
NPI:1255547303
Name:L'ESPERANCE, ANTHONY GERARD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:GERARD
Last Name:L'ESPERANCE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 NW INNIS ARDEN DR
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-3215
Mailing Address - Country:US
Mailing Address - Phone:206-546-8018
Mailing Address - Fax:
Practice Address - Street 1:17524 AURORA AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4813
Practice Address - Country:US
Practice Address - Phone:206-542-4964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00053158183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist