Individual
MR. DANE RYAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1510 OHIO ST, AUGUSTA, KS 67010-2157
(316) 775-5456
(316) 775-4108
Mailing address
1510 OHIO ST, AUGUSTA, KS 67010-2157
(316) 775-5456
(316) 775-4108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11779
KS
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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