Provider Demographics
NPI:1306282611
Name:ENOKIAN, ANTHONY STEVEN (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:STEVEN
Last Name:ENOKIAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6180 CHAD CT
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1794
Mailing Address - Country:US
Mailing Address - Phone:810-225-4846
Mailing Address - Fax:
Practice Address - Street 1:11912 WHITMORE LAKE RD
Practice Address - Street 2:
Practice Address - City:WHITMORE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48189-9372
Practice Address - Country:US
Practice Address - Phone:734-449-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302024345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist