Individual
AMY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
789 STATE ROAD 39 BYP S, MARTINSVILLE, IN 46151-2127
(765) 342-2121
Mailing address
789 STATE ROAD 39 BYP S, MARTINSVILLE, IN 46151-2127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026644A
IN
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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