Provider Demographics
NPI:1730610296
Name:ANCHETA, DENNIS ANDREW ANTONIO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DENNIS ANDREW
Middle Name:ANTONIO
Last Name:ANCHETA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DENNIS
Other - Middle Name:
Other - Last Name:ANCHETA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9080 COLIMA RD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-1600
Mailing Address - Country:US
Mailing Address - Phone:562-907-1517
Mailing Address - Fax:
Practice Address - Street 1:9080 COLIMA RD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1600
Practice Address - Country:US
Practice Address - Phone:562-907-1517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist