Provider Demographics
NPI:1184361636
Name:SCAVONE, ANTHONY DANIEL (PHARMD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:DANIEL
Last Name:SCAVONE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 LINCOLNTON HWY
Mailing Address - Street 2:
Mailing Address - City:CHERRYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28021-8346
Mailing Address - Country:US
Mailing Address - Phone:704-435-4449
Mailing Address - Fax:
Practice Address - Street 1:2505 LINCOLNTON HWY
Practice Address - Street 2:
Practice Address - City:CHERRYVILLE
Practice Address - State:NC
Practice Address - Zip Code:28021-8346
Practice Address - Country:US
Practice Address - Phone:704-435-4449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31163183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist