Organization

Anika Pharmacy Corp

May also be knows as Lorven Pharmacy

Community/Retail Pharmacy in Laurel, MD(View on Map)

Legal Business Name

Anika Pharmacy Corp

Also Known As

Lorven Pharmacy

NPI Number

1740565357

NPI Type

Organization

Enumeration Date

10/14/2011

Specialties

(Taxonomies)

Code

3336C0003X
333600000X

Primary Taxonomy

Yes
No

Licenses

State

Maryland

License Number

P05590

Contact
Information

Purpose

Mailing
Location

Address

13929 BALTIMORE AVE STE 4
13929 BALTIMORE AVE STE 4

City

Laurel
Laurel

State

MD
MD

Postal Code

20707-5045
20707-5045

Country

US
US

Telephone Number

(301) 490-8311
(301) 490-8311

Authorized Official

Name

Narendar Bokka

Title or Position

PRESIDENT

Telephone Number

(718) 649-9535

Identifiers

Identifier

2136162

Identifier State

Unknown

Identifier Issuer

NCPDP PROVIDER IDENTIFICATION NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/14/2011

Provider Address

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