Individual
LAURENCE W. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
279 BROOKS PHARMACY, 7 WEST STREET, RUTLAND, VT 05701
(802) 775-0131
Mailing address
35 KENDALL AVE, RUTLAND, VT 05701-3116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033-0002488
VT
183500000X
Pharmacist
1846
NH
183500000X
Pharmacist
PS 28411
FL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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