Individual
KURT DEMONT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632
(360) 747-5800
Mailing address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 747-5800
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PH60481994
WA
1835P2201X
Ambulatory Care Pharmacist
PH60481994
WA
Other
Enumeration date
08/25/2016
Last updated
04/29/2019
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