NPI 1033486592

Paul Byron Anthony, RPH

Practitioner Pharmacist Racine, WI

Practice location

Address: 5104 Cortland Ave, Racine, WI 53406
Phone: (262) 886-6403

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 11106-40 (WI)

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Registry record

NPI: 1033486592
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2011
Record last updated: 28 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.