Organization
ANDERSON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD G ANDERSON RPH (OWNER RPH)
(218) 843-2205
Entity
Organization
Contact information
Practice address
115 S 2ND, HALLOCK, MN 56728
(218) 843-2205
(218) 843-2205
Mailing address
BX 99, 115 S 2ND, HALLOCK, MN 56728
(218) 843-2205
(218) 843-2205
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2047142
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274357400
—
MN
01
—
AA7257276
COMBINED SUBTURE REGISTER
—
Enumeration date
12/14/2006
Last updated
09/28/2007
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