Basic Information
| Provider Information | |||||||||
| NPI: | 1699764654 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BALDUCCI | ||||||||
| FirstName: | ANASTASIA | ||||||||
| MiddleName: | ANGELA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3680 STONEBRIDGE DR | ||||||||
| Address2: | APT. F | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452095150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135841785 | ||||||||
| FaxNumber: | 5135844455 | ||||||||
| Practice Location | |||||||||
| Address1: | 231 ALBERT SABIN WAY | ||||||||
| Address2: | UNIVERSITY OF CINCINNATI MEDICAL CENTER | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452670001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135841785 | ||||||||
| FaxNumber: | 5135844455 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 03356908 | OH | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.