Provider Demographics
NPI:1750252102
Name:VALDEZ, ANTHONY VICTOR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:VICTOR
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-6700
Mailing Address - Country:US
Mailing Address - Phone:781-397-0050
Mailing Address - Fax:
Practice Address - Street 1:99 CHARLES ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-6700
Practice Address - Country:US
Practice Address - Phone:781-397-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH1002536183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist