Individual
DR. PETER DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
816 WILLARD ST, APT. 207, QUINCY, MA 02169-7496
(617) 769-9955
Mailing address
816 WILLARD ST, APT. 207, QUINCY, MA 02169-7496
(617) 769-9955
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
21040
MA
1835P1300X
Psychiatric Pharmacist
Primary
21040
MA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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