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Individual

KERI C ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D., BCPS

Contact information

Practice address
709 MALL BLVD, SAVANNAH, GA 31406-4805
(912) 201-8161
Mailing address
709 MALL BLVD, SAVANNAH, GA 31406-4805

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS44286
FL
183500000X
Pharmacist
Primary
RPH024486
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS44286
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
01
RPH024486
GEORGIA STATE BOARD OF PHARMACY
GA
Enumeration date
09/09/2011
Last updated
09/09/2011
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