Provider Demographics
NPI:1871280768
Name:BUXTON, ANNA QUIN
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:QUIN
Last Name:BUXTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 TRENTON RD APT 50
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-5665
Mailing Address - Country:US
Mailing Address - Phone:267-991-2970
Mailing Address - Fax:
Practice Address - Street 1:800 TRENTON RD APT 50
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-5665
Practice Address - Country:US
Practice Address - Phone:267-991-2970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA183700000X
183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician