Organization
DRAGGON DRUG INC
Active
Other names
ANDERSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ANDERSON (PRESIDENT)
(505) 662-6189
Entity
Organization
Contact information
Practice address
1377 DIAMOND DR, LOS ALAMOS, NM 87544-2218
(505) 662-6189
(505) 662-3171
Mailing address
PO BOX 1243, LOS ALAMOS, NM 87544-1243
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00001162
NM
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3202823
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
56123
—
NM
Enumeration date
08/31/2006
Last updated
09/11/2025
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