Individual
BASIL DURRELL ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4514 S REGAL ST, SPOKANE, WA 99223-7937
(509) 448-9063
(509) 448-9661
Mailing address
4514 S REGAL ST, SPOKANE, WA 99223-7937
(509) 448-9063
(509) 448-9661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5951006-1701
UT
183500000X
Pharmacist
P3561
ID
183500000X
Pharmacist
Primary
PH00008071
WA
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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