Provider Demographics
NPI:1700476082
Name:PERRY, COURTNEY ANNA (PHARMD)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ANNA
Last Name:PERRY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:RAMEY
Mailing Address - State:PA
Mailing Address - Zip Code:16671-1094
Mailing Address - Country:US
Mailing Address - Phone:814-673-5699
Mailing Address - Fax:
Practice Address - Street 1:360 THOMPSON ST
Practice Address - Street 2:
Practice Address - City:CURWENSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16833-1158
Practice Address - Country:US
Practice Address - Phone:814-236-1820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist