Individual
DOUGLAS DALE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 N BURKHARDT RD, EVANSVILLE, IN 47715-2727
(812) 471-8207
Mailing address
101 N BURKHARDT RD, EVANSVILLE, IN 47715-2727
(812) 471-8207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018910A
IN
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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