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General NPI Number Information
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NPI Number | 1891069282
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Entity Type | Organization
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Legal Business Name | ANILE PHARMACY INC
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 2413 PENNSYLVANIA AVE
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City | WEIRTON
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State | WV
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Zip | 26062-3632
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Country | US
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Telephone | 304-723-1818
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Fax | 304-723-5596
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Provider Business Mailing Address
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Address Line | 2413 PENNSYLVANIA AVE
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City | WEIRTON
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State | WV
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Zip | 26062-3632
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Country | US
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Telephone | 304-723-1818
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Fax | 304-723-5596
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Authorized Official
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Title or Position | O-OWNER/RPH
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Name | LEWIS ANILE
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Credential | BS
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Telephone | 304-723-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | SP0552431
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License Number State | WV
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