Provider Demographics
NPI:1699011643
Name:TEICHMAN, ANNE (PHARMD, BCACP)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:TEICHMAN
Suffix:
Gender:
Credentials:PHARMD, BCACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 E BARNETT RD
Mailing Address - Street 2:MSS
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-8332
Mailing Address - Country:US
Mailing Address - Phone:541-789-4281
Mailing Address - Fax:541-789-4806
Practice Address - Street 1:2828 E BARNETT RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8342
Practice Address - Country:US
Practice Address - Phone:541-789-8000
Practice Address - Fax:541-789-8225
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR162121835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
277293OtherNABP
OR16212OtherBOARD OF PHARMACY
OR500733810Medicaid