MEDICARE: ANNSHA H MAKI

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	RPH 37692	CA

General Provider Information

NPI Number	:	1982088548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNSHA H MAKI

Provider Business Mailing Address
First Line	:	1930 N PLACENTIA AVE
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92831-1522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1930 N PLACENTIA AVE
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92831-1522
Country	:	US
Telephone Number	:	714-792-0990
Fax Number	:

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

Provider Enumeration Date	:	07/14/2015
Last Update Date	:	07/14/2015

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Directions to “ ANNSHA H MAKI ” Practice Location

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