Healthcare Provider Details

I. General information

NPI: 1720826290
Provider Name (Legal Business Name): ANNA SANTORO PHARMD, BCPP, BCGP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 PATTON RD
AYER MA
01434-3801
US

IV. Provider business mailing address

31 BURDON ST
WHITINSVILLE MA
01588-1601
US

V. Phone/Fax

Practice location:
  • Phone: 978-796-1000
  • Fax: 978-796-1507
Mailing address:
  • Phone: 417-849-1056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH232858
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: