Provider Demographics
NPI:1215531926
Name:PAZCOGUIN, ANTHONY GEORGE (PHARMD)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:GEORGE
Last Name:PAZCOGUIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-1607
Mailing Address - Country:US
Mailing Address - Phone:540-233-2275
Mailing Address - Fax:
Practice Address - Street 1:772 SAINT JOSEPH ST
Practice Address - Street 2:
Practice Address - City:LORETTO
Practice Address - State:PA
Practice Address - Zip Code:15940-7006
Practice Address - Country:US
Practice Address - Phone:814-471-1570
Practice Address - Fax:814-471-1596
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441895183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP441895OtherPENNSYLVANIA PHARMACIST NUMBER