Provider Demographics
NPI:1588961924
Name:KAPNIK, ANNA V (PHARMD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:V
Last Name:KAPNIK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 S FREDRICK WAY
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-6242
Mailing Address - Country:US
Mailing Address - Phone:864-999-0222
Mailing Address - Fax:
Practice Address - Street 1:3681 BOILING SPRINGS RD
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316
Practice Address - Country:US
Practice Address - Phone:864-578-2414
Practice Address - Fax:864-578-2434
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist