Individual
COHAN B ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 ROUND LAKE RD, BALLSTON LAKE, NY 12019-1147
(518) 899-2748
Mailing address
43 ROUND LAKE RD, BALLSTON LAKE, NY 12019-1147
(518) 899-2748
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
070650
NY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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