MEDICARE: DR. LYNN ANYAELE 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	183500000X	Pharmacist	28RI03650200	NJ
2	183500000X	Pharmacist	03334407	OH

General Provider Information

NPI Number	:	1619351319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN ANYAELE PHARMD

Provider Business Mailing Address
First Line	:	84 ROCKVIEW AVE
Second Line	:
City	:	NORTH PLAINFIELD
State	:	NJ
Zip	:	07060-4539
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	84 ROCKVIEW AVE
Second Line	:
City	:	NORTH PLAINFIELD
State	:	NJ
Zip	:	07060-4539
Country	:	US
Telephone Number	:	908-230-3333
Fax Number	:

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

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	07/13/2015

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