Provider Demographics
NPI:1730788837
Name:FASSBINDER, ANNE MARIE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIE
Last Name:FASSBINDER
Suffix:
Gender:F
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 1:507 PARKVIEW CT
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE DU CHIEN
Mailing Address - State:WI
Mailing Address - Zip Code:53821-2242
Mailing Address - Country:US
Mailing Address - Phone:608-306-1413
Mailing Address - Fax:
Practice Address - Street 1:38020 US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:PRAIRIE DU CHIEN
Practice Address - State:WI
Practice Address - Zip Code:53821-8206
Practice Address - Country:US
Practice Address - Phone:608-326-5103
Practice Address - Fax:608-326-2168
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14296-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist