Provider Demographics
NPI:1780960013
Name:ORJANSEN, ANNE-RENEE (PHARM D, RPH)
Entity type:Individual
Prefix:
First Name:ANNE-RENEE
Middle Name:
Last Name:ORJANSEN
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5432 N TALL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LONG GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60047-5065
Mailing Address - Country:US
Mailing Address - Phone:847-383-6074
Mailing Address - Fax:
Practice Address - Street 1:701 S MIDLOTHIAN RD
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-2686
Practice Address - Country:US
Practice Address - Phone:847-949-1798
Practice Address - Fax:847-949-7347
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.294703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist