IndividualActive
Andrea Wickline, PHARMD
NPI 1063703197 · Pharmacist · Ronceverte, WV
Provider details
- NPI number
- 1063703197
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- RP0006457 (WV)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1348
Phone: (304) 645-2095
Fax: (304) 645-3783
Approximate (ZIP-level) locationGet directions
Mailing address
2 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1348
Registry dates
- Enumerated
- 2011-04-24
- Last updated
- 2011-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.