Individual
JAMES MELVIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 S GALENA AVE, DIXON, IL 61021-9611
(815) 288-7797
Mailing address
1280 LEWIS RD, GENEVA, IL 60134-3572
(630) 302-7305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051035797
IL
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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