Organization
ANILE PHARMACY INC
Active
Other names
Anile Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS ANILE BS (O-OWNER/RPH)
(304) 723-1818
Entity
Organization
Contact information
Practice address
2413 PENNSYLVANIA AVE, WEIRTON, WV 26062-3632
(304) 723-1818
(304) 723-5596
Mailing address
2413 PENNSYLVANIA AVE, WEIRTON, WV 26062-3632
(304) 723-1818
(304) 723-5596
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
SP0552431
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134130
PK
—
Enumeration date
03/02/2012
Last updated
12/13/2016
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