Individual
DR. ANISA FORNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5518 NW 88TH ST, DRAKE PHARMACY, JOHNSTON, IA 50131-1782
(515) 557-1810
(515) 557-1809
Mailing address
2507 UNIVERSITY AVE, DRAKE UNIVERSITY-CLINE 106, DES MOINES, IA 50311-4516
(515) 557-1810
(515) 557-1809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19695
IA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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