Individual
ERIC ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
385 N OVERLAND AVE, BURLEY, ID 83318-3432
(208) 677-4804
(208) 677-4805
Mailing address
385 N OVERLAND AVE, BURLEY, ID 83318-3432
(208) 677-4804
(208) 677-4805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P-5504
ID
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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