Provider Demographics
NPI:1730738279
Name:GASPARINI, ANNA MARGAUX
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARGAUX
Last Name:GASPARINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 PAWNEE DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2581
Mailing Address - Country:US
Mailing Address - Phone:717-609-9529
Mailing Address - Fax:
Practice Address - Street 1:286 BROAD ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4049
Practice Address - Country:US
Practice Address - Phone:860-647-0325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-07
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0014918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist