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Individual

ANDERSON VAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1050 W SUNSET BLVD, LOS ANGELES, CA 90012-2102
(213) 975-1200
(213) 975-1181
Mailing address
1050 W SUNSET BLVD, LOS ANGELES, CA 90012-2102

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
82568
CA

Other

Enumeration date
09/01/2020
Last updated
09/01/2020
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