Provider Demographics
NPI:1871898221
Name:CONSTANTINOU, ANNA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:CONSTANTINOU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 APPLE DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-3203
Mailing Address - Country:US
Mailing Address - Phone:203-881-0210
Mailing Address - Fax:203-881-0210
Practice Address - Street 1:19 APPLE DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:CT
Practice Address - Zip Code:06478-3203
Practice Address - Country:US
Practice Address - Phone:203-881-0210
Practice Address - Fax:203-881-0210
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-17
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0008143183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist