Organization
ANDERSON PHARMACY INC
Active
Other names
ANDERSON PHARMACY UNITED DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ANDERSON BSRPH (OWNER)
(563) 689-3301
Entity
Organization
Contact information
Practice address
61 W GILLET ST, PRESTON, IA 52069-7709
(563) 689-3301
(563) 689-3303
Mailing address
PO BOX 40, PRESTON, IA 52069-0040
(563) 689-3301
(563) 689-3303
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
307
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126508
—
IA
01
—
2027523
PK
—
Enumeration date
08/10/2006
Last updated
03/13/2017
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