Organization · NPI-2

Anika Pharmacy Corp

Pharmacy, Community/Retail Pharmacy · Laurel, MD

NPI number1740565357
StatusActive
Last updated in NPPESNov 14, 2011

Details

NPI
1740565357
Entity type
Organization (NPI-2)
Legal business name
Anika Pharmacy Corp
Organization subpart
No
Enumeration date
Oct 14, 2011
Last updated
Nov 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyP05590MDYes
333600000X Pharmacy––

Other names

  • Lorven Pharmacy (Doing Business As)

Practice location

13929 Baltimore Ave Ste 4
Laurel, MD 20707-5045

Phone 301-490-8311 · Fax 301-490-8244

Mailing address

13929 Baltimore Ave Ste 4
Laurel, MD 20707-5045

Phone 301-490-8311 · Fax 301-490-8244

Authorized official

Narendar Bokka
President
7186499535

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