Provider Demographics
NPI:1306722244
Name:AIKEN PHARMACY LLC
Entity type:Organization
Organization Name:AIKEN PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:AMALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MISTREANU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:910-859-1237
Mailing Address - Street 1:410 UNIVERSITY PKWY STE 1500A
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-6847
Mailing Address - Country:US
Mailing Address - Phone:910-859-1237
Mailing Address - Fax:
Practice Address - Street 1:410 UNIVERSITY PKWY STE 1500A
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-6847
Practice Address - Country:US
Practice Address - Phone:910-859-1237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy