Individual
CASEY ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 CHESTNUT ST, ATLANTIC, IA 50022-1260
(712) 243-2110
Mailing address
507 CHESTNUT ST, ATLANTIC, IA 50022-1260
(712) 243-2110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21150
IA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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