Provider Demographics
NPI:1962789883
Name:JANKOWSKI, ANNA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:JANKOWSKI
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 1:125 BUCKLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-8701
Mailing Address - Country:US
Mailing Address - Phone:860-327-0083
Mailing Address - Fax:860-327-0083
Practice Address - Street 1:125 BUCKLAND HILLS DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-8701
Practice Address - Country:US
Practice Address - Phone:860-327-0083
Practice Address - Fax:860-327-0083
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-06
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist