Provider Demographics
NPI:1053530279
Name:DODT, ANNE (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:DODT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14640 PARDEE RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-4739
Mailing Address - Country:US
Mailing Address - Phone:734-374-4233
Mailing Address - Fax:734-374-4265
Practice Address - Street 1:14640 PARDEE RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4739
Practice Address - Country:US
Practice Address - Phone:734-374-4233
Practice Address - Fax:734-374-4265
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302032622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist