Provider Demographics
NPI:1295989010
Name:NOWIERSKI, ANNA LEE (RPH)
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:LEE
Last Name:NOWIERSKI
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 1:8818 ROCKAWAY BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-1608
Mailing Address - Country:US
Mailing Address - Phone:718-945-4300
Mailing Address - Fax:718-945-3800
Practice Address - Street 1:8818 ROCKAWAY BEACH BLVD
Practice Address - Street 2:
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:NY
Practice Address - Zip Code:11693-1608
Practice Address - Country:US
Practice Address - Phone:718-945-4300
Practice Address - Fax:718-945-3800
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030223183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist