Provider Demographics
NPI:1528242138
Name:SOTA, LOANDA ANA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LOANDA
Middle Name:ANA
Last Name:SOTA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SAW MILL RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-7319
Mailing Address - Country:US
Mailing Address - Phone:914-747-1150
Mailing Address - Fax:
Practice Address - Street 1:8 ADDISON TER
Practice Address - Street 2:
Practice Address - City:OLD TAPPAN
Practice Address - State:NJ
Practice Address - Zip Code:07675-7319
Practice Address - Country:US
Practice Address - Phone:201-660-7771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2017-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RJ03159700183500000X
NY050747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist