Individual
MR. RICHARD KEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1000 CLUB VILLAGE DR, COLUMBIA, MO 65203-4405
(573) 449-8330
(573) 449-8173
Mailing address
1000 CLUB VILLAGE DR, COLUMBIA, MO 65203-4405
(573) 449-8330
(573) 449-8173
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044152
MO
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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