Provider Demographics
NPI:1750595005
Name:ANZALOTA, PATZY (PHARM D)
Entity type:Individual
Prefix:
First Name:PATZY
Middle Name:
Last Name:ANZALOTA
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 1:21101 N-3 STREET ELEGANTE
Mailing Address - Street 2:URBANIZACION JARDIN DORADO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-390-0434
Mailing Address - Fax:
Practice Address - Street 1:21101 N-3 STREET ELEGANTE
Practice Address - Street 2:URBANIZACION JARDIN DORADO
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-390-0434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist