Provider Demographics
NPI:1144485475
Name:ANIKPE, IFEANYI JOHN (PHARM D)
Entity type:Individual
Prefix:
First Name:IFEANYI
Middle Name:JOHN
Last Name:ANIKPE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4529 WILLOW OAK TRL
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-6427
Mailing Address - Country:US
Mailing Address - Phone:678-524-5691
Mailing Address - Fax:
Practice Address - Street 1:3518 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-5844
Practice Address - Country:US
Practice Address - Phone:404-761-6488
Practice Address - Fax:404-762-8375
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH014041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist