Individual
COLLIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
43 NEW SCTLND AVE, ALBANY, NY 12208-3412
(518) 262-3255
Mailing address
22 EVA ST, LATHAM, NY 12110-4224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
649067-1701
UT
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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