Provider Demographics
NPI:1396966172
Name:SELWYN, ANNA M (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:M
Last Name:SELWYN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ROCKY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02892-1177
Mailing Address - Country:US
Mailing Address - Phone:401-284-4266
Mailing Address - Fax:
Practice Address - Street 1:1395 KINGSTOWN ROAD
Practice Address - Street 2:SUITE 107
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882
Practice Address - Country:US
Practice Address - Phone:401-789-5572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH038131835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy