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Individual

MR. BRYAN JOHN ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D.

Contact information

Practice address
1030 BLAIRS FERRY RD NE, CEDAR RAPIDS, IA 52402-1220
(319) 393-4348
Mailing address
7906 FOXFIELD DR NE, CEDAR RAPIDS, IA 52402-6703
(319) 389-6144

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21601
IA

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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