Individual
DR. LATRICIA ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2829 DIVISION AVE S, WYOMING, MI 49548-1152
(616) 248-9030
Mailing address
1649 PINECROFT CT SW, WYOMING, MI 49519-6555
(616) 551-2562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036507
MI
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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