Individual
ANIKA FANLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
990 S HIGHWAY 395, HERMISTON, OR 97838-2699
(541) 564-1285
Mailing address
2835 WESTGATE APT 326, PENDLETON, OR 97801-4057
(908) 420-6576
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020345
OR
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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