Individual
BRYAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
515 SHOSHONE CIR, ELKO, NV 89801-5072
(775) 738-2252
Mailing address
515 SHOSHONE CIR, ELKO, NV 89801-5072
(775) 738-2252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5917264-1701
UT
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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