NPI 1063703197

Andrea Wickline, PHARMD

Practitioner Pharmacist Ronceverte, WV

Practice location

Address: 2 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1348
Phone: (304) 645-2095
Fax: (304) 645-3783

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RP0006457 (WV)

Other Pharmacist providers in West Virginia →

Registry record

NPI: 1063703197
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2011
Record last updated: 24 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.