Individual
POLLY ALISON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-3140
Mailing address
1738 SPRING HILLS LN, DE PERE, WI 54115-8368
(920) 983-7808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12407
WI
183500000X
Pharmacist
5302029164
MI
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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