Individual
DONALD R ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
311 N MAIN ST, LEITCHFIELD, KY 42754-2214
(270) 259-2474
Mailing address
1376 OWENSBORO RD, LEITCHFIELD, KY 42754-7701
(270) 259-3296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006269
KY
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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