MEDICARE: MRS. ANNA FOX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	51132	CA

General Provider Information

NPI Number	:	1952967267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNA FOX

Provider Business Mailing Address
First Line	:	1240 E YORBA LINDA BLVD
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3832
Country	:	US
Telephone Number	:	714-996-7050
Fax Number	:	714-996-7729

Provider Business Practice Location Address
First Line	:	1240 E YORBA LINDA BLVD
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3832
Country	:	US
Telephone Number	:	714-996-7050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	05/13/2019

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Directions to “ MRS. ANNA FOX ” Practice Location

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