Healthcare Provider Details

I. General information

NPI: 1467760660
Provider Name (Legal Business Name): ANITA AIREE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 09/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY BOX 117
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

707 LANDING LN
KNOXVILLE TN
37934-4837
US

V. Phone/Fax

Practice location:
  • Phone: 186-597-4238
  • Fax: 186-597-4202
Mailing address:
  • Phone: 865-603-5078
  • Fax: 865-974-2022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number10757
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: