Individual
DANIEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3842 BANTAM DR, HUDSONVILLE, MI 49426-7528
(616) 915-3061
Mailing address
3842 BANTAM DR, HUDSONVILLE, MI 49426-7528
(616) 915-3061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038749
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302038749
STATE OF MICHIGAN - BOARD OF PHARMACY REGISTERED PHARMACIST LICENSE
MI
Enumeration date
02/11/2015
Last updated
02/11/2015
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