Individual
DAVID L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
350 S VAN BUREN ST STE F, SHIPSHEWANA, IN 46565-9197
(260) 768-4433
(260) 768-4403
Mailing address
350 S VAN BUREN ST STE F, SHIPSHEWANA, IN 46565-9197
(260) 768-4433
(260) 768-4403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022099A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26022099A
PHARMACIST LICENSE
IN
Enumeration date
12/04/2018
Last updated
12/04/2018
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