Individual
BRENDAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2425 13TH AVE S, FARGO, ND 58103-3749
(701) 232-4872
Mailing address
1602 BELSLY BLVD APT 110, MOORHEAD, MN 56560-5288
(218) 343-8795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
126250
MN
183500000X
Pharmacist
Primary
RPH6505
ND
Other
Enumeration date
08/01/2023
Last updated
09/30/2023
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