Provider Demographics
NPI:1962749929
Name:WOZNIAK, ANNA M (RPH)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:WOZNIAK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:886 PECK LN
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1563
Mailing Address - Country:US
Mailing Address - Phone:203-699-8641
Mailing Address - Fax:203-699-8641
Practice Address - Street 1:180 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2406
Practice Address - Country:US
Practice Address - Phone:203-272-3543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0006750183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist