Provider Demographics
NPI:1962892570
Name:TAVAREZ, ANA M (CPHT)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:TAVAREZ
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:35 COMPUTER DR
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-1236
Mailing Address - Country:US
Mailing Address - Phone:978-377-9004
Mailing Address - Fax:978-377-1183
Practice Address - Street 1:35 COMPUTER DR
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-1236
Practice Address - Country:US
Practice Address - Phone:978-377-9004
Practice Address - Fax:978-377-1183
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician