Healthcare Provider Details
I. General information
NPI: 1730003096
Provider Name (Legal Business Name): ANNA MERAUTA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10401 W THUNDERBIRD BLVD
SUN CITY AZ
85351-3004
US
IV. Provider business mailing address
18817 N 49TH DR
GLENDALE AZ
85308-4854
US
V. Phone/Fax
- Phone: 623-832-4000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | S026620 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: