Provider Demographics
NPI:1841730975
Name:HOM, ANNE CONYERS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:CONYERS
Last Name:HOM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:MARGUERITE
Other - Last Name:CONYERS-HOM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8 HAMILTON LAKES DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3437
Mailing Address - Country:US
Mailing Address - Phone:862-215-0423
Mailing Address - Fax:
Practice Address - Street 1:8 HAMILTON LAKES DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3437
Practice Address - Country:US
Practice Address - Phone:862-215-0423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI029228001835P1200X
CARPH403921835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy