# ANB PHARMACY SVC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANB PHARMACY SERVICES INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730239054
- **Authorized official:** CHARLINE VAN GILDER RPH (PIC)
- **Authorized official phone:** (805) 532-1222

## Contact information

- **Practice address:** 5142 N COMMERCE AVE, UNIT C, MOORPARK, CA 93021-7132
- **Practice address phone:** (805) 532-1222
- **Practice address fax:** (805) 532-1208
- **Mailing address:** 5142 N COMMERCE AVE, UNIT C, MOORPARK, CA 93021-7132
- **Mailing address phone:** (805) 532-1222
- **Mailing address fax:** (805) 532-1208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY46525 | CA | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 06/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5601162 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
