Individual
RICHARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1556 1ST AVE NE, CEDAR RAPIDS, IA 52402-5124
(319) 366-2239
Mailing address
2923 DENNIS DR NW, CEDAR RAPIDS, IA 52405-4682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16458
IA
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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