Healthcare Provider Details

I. General information

NPI: 1982731360
Provider Name (Legal Business Name): ANTHONY M WOANYA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FRANKEL WAY
COCKEYSVILLE MD
21030-3220
US

IV. Provider business mailing address

5012 CAMEO TER
PERRY HALL MD
21128-8933
US

V. Phone/Fax

Practice location:
  • Phone: 410-282-4020
  • Fax: 410-282-6446
Mailing address:
  • Phone: 443-854-5230
  • Fax: 443-854-5230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17276
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: