Provider Demographics
NPI:1720826290
Name:SANTORO, ANNA (PHARMD, BCPP, BCGP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SANTORO
Suffix:
Gender:F
Credentials:PHARMD, BCPP, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BURDON ST
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-1601
Mailing Address - Country:US
Mailing Address - Phone:417-849-1056
Mailing Address - Fax:
Practice Address - Street 1:42 PATTON RD
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01434-3801
Practice Address - Country:US
Practice Address - Phone:978-796-1000
Practice Address - Fax:978-796-1507
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist