Provider Demographics
NPI:1083742514
Name:MUSITANO, ANNE (RPH)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:MUSITANO
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 1:283 OWASSO AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3741
Mailing Address - Country:US
Mailing Address - Phone:330-836-6562
Mailing Address - Fax:
Practice Address - Street 1:300 LOCUST ST STE 300
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1803
Practice Address - Country:US
Practice Address - Phone:330-543-8322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03224960183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist