Organization
ANDERSON HEALTHCARE INC
Active
Parent organization
ANDERSON HEALTHCARE INC
Other names
Shipshewana Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDERSON HEALTHCARE INC
Authorized official
DR. DAVID L ANDERSON PHARM.D. (CEO)
(260) 768-4433
Entity
Organization
Contact information
Practice address
350 S VAN BUREN ST STE F, SHIPSHEWANA, IN 46565-9197
(260) 768-4433
(260) 768-4033
Mailing address
350 S VAN BUREN ST STE F, SHIPSHEWANA, IN 46565-9197
(260) 768-4433
(260) 768-4033
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006400B
IN
3336C0004X
Compounding Pharmacy
60006400B
IN
3336L0003X
Long Term Care Pharmacy
60006400B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60006400B
INDIANA PHARMACY LICENSE
IN
Enumeration date
10/14/2014
Last updated
10/14/2014
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