MEDICARE: MRS. ANNA MARY HUNT RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	7517	CT
2	183500000X	Pharmacist	048490	NY

General Provider Information

NPI Number	:	1164545349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNA MARY HUNT RPH

Provider Business Mailing Address
First Line	:	1 WALNUT LN
Second Line	:
City	:	NEW MILFORD
State	:	CT
Zip	:	06776-3062
Country	:	US
Telephone Number	:	860-355-2304
Fax Number	:

Provider Business Practice Location Address
First Line	:	91 WILLENBROCK RD STE B1
Second Line	:
City	:	OXFORD
State	:	CT
Zip	:	06478-1036
Country	:	US
Telephone Number	:	203-262-6860
Fax Number	:	203-262-8765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	07/08/2007

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