Individual
MR. ALAN W ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS PHARM
Contact information
Practice address
898 TANAGER ST, IN CARE OF VILLAGE COMPOUNDING PHARMACY, INCLINE VILLAGE, NV 89451
(775) 831-1133
(775) 831-2228
Mailing address
PO BOX 3498, INCLINE VILLAGE, NV 89450-3498
(775) 833-3060
(775) 831-2228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
24992
CA
183500000X
Pharmacist
Primary
3898
NV
183500000X
Pharmacist
8194
OR
Other
Enumeration date
06/16/2005
Last updated
10/24/2007
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