Individual
KIRK K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
600 S 70TH ST, LINCOLN, NE 68510-2451
(402) 489-3802
Mailing address
5821 QUEENS DR, LINCOLN, NE 68516-3159
(402) 421-7090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9694
NE
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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