Individual
MR. HUSTON P ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R PH
Contact information
Practice address
13750 ROAD 42, MANCOS, CO 81328-9009
(970) 533-9775
Mailing address
13750 ROAD 42, MANCOS, CO 81328
(970) 533-9775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13494
CO
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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