Provider Demographics
NPI:1841515301
Name:WHEELOCK, ANNE M (RPH, MS)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:M
Last Name:WHEELOCK
Suffix:
Gender:F
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 S JUDD ST APT 305
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2603
Mailing Address - Country:US
Mailing Address - Phone:808-524-3443
Mailing Address - Fax:
Practice Address - Street 1:55 S JUDD ST APT 305
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2603
Practice Address - Country:US
Practice Address - Phone:808-524-3443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-28
Last Update Date:2010-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist