Individual
KENNETH J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
61 W GILLET ST, PRESTON, IA 52069-7709
(563) 689-3301
(563) 689-3303
Mailing address
141 W WHITE ST, PO BOX 40, PRESTON, IA 52069-7737
(563) 689-6430
(563) 689-3303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14032
IA
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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