# ANDERSON DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANDERSON DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508913666
- **Authorized official:** P JEFFERY ANDERSON RPH (OWNER)
- **Authorized official phone:** (435) 283-4444

## Contact information

- **Practice address:** 1 N MAIN ST, EPHRAIM, UT 84627-1129
- **Practice address phone:** (435) 283-4444
- **Practice address fax:** (435) 283-4070
- **Mailing address:** 1 N MAIN ST, EPHRAIM, UT 84627-1129
- **Mailing address phone:** (435) 283-4444
- **Mailing address fax:** (435) 283-4070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1296821703 | UT | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/17/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2106950 | PK | — |
| 05 | — | 870439428006 | — | UT |
