Individual
RONALD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1157 COUNTY ROAD R, NORTH BEND, NE 68649-2022
(402) 652-8114
Mailing address
1157 COUNTY ROAD R, NORTH BEND, NE 68649-2022
(402) 652-8114
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
13400
IA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7438
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13400
IOWA PHARMACIST LICENSE
IA
01
—
7438
NEBRASKA PHARMACIST LICENSE
NE
Enumeration date
07/06/2012
Last updated
07/06/2012
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