MEDICARE: DR. ANNE K CROCHUNIS PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	28RI03006100	NJ

General Provider Information

NPI Number	:	1427339118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE K CROCHUNIS PHARMD

Provider Business Mailing Address
First Line	:	247 GARDEN PL
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-4129
Country	:	US
Telephone Number	:	862-206-9701
Fax Number	:

Provider Business Practice Location Address
First Line	:	899 MOUNTAIN AVE
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-3455
Country	:	US
Telephone Number	:	862-206-9701
Fax Number	:

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

Provider Enumeration Date	:	09/08/2011
Last Update Date	:	09/08/2011

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