Organization
ANILE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA SIKORA RPH (PIC AND COOWNER)
(304) 723-1818
Entity
Organization
Contact information
Practice address
2413 PENNSYLVANIA AVE, WEIRTON, WV 26062-3632
(304) 723-1818
Mailing address
2413 PENNSYLVANIA AVE, WEIRTON, WV 26062-3632
(304) 723-1818
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550004
WV
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139971000
—
WV
01
—
5003760
OTHER ID NUMBER
—
Enumeration date
08/13/2006
Last updated
05/16/2013
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