DR. Anisa Fornoff, PHARMD

NPI #1548454937 in Johnston, Iowa

Provider Information

NPI Number: 1548454937
Entity Type: Individual
Name: DR. Anisa Fornoff, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 5518 NW 88TH ST
Address 2: DRAKE PHARMACY
City: Johnston
State: Iowa
ZIP Code: 50131-1782
Phone: (515) 557-1810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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