Healthcare Provider Details

I. General information

NPI: 1710015250
Provider Name (Legal Business Name): ANNMARIE VERINI PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 HILLSIDE RD SUITE A
PELHAM NY
10803-2723
US

IV. Provider business mailing address

13 ALDEN PL
HARTSDALE NY
10530-2916
US

V. Phone/Fax

Practice location:
  • Phone: 914-738-2400
  • Fax: 914-738-6909
Mailing address:
  • Phone: 914-806-1567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number035619
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: