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Individual

DOUGLAS K ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
5415 MAIN ST, SPRINGFIELD, OR 97478-6279
(541) 736-3418
(541) 736-3415
Mailing address
5415 MAIN ST, SPRINGFIELD, OR 97478-6279
(541) 736-3418
(541) 736-3415

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8851
OR

Other

Enumeration date
10/26/2010
Last updated
10/26/2010
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