Whalio Doctors

NPI 1003170242

Brandon Lee Anderson, PHARMDMBA

Practitioner Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Cape Girardeau, MO

Practice location

Address
3051 William St, Cape Girardeau, MO 63703-6393
Phone
(573) 339-0909
Fax
(573) 339-5940
Mailing address
3051 Williams Street, Cape Girardeau, MO 63703-6393

Registered specialties (2)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary
Pharmacy Service Providers Taxonomy 1835P0018X Licence 2009030884 (MO)
Pharmacist
Pharmacy Service Providers Taxonomy 183500000X Licence 2009030884 (MO)

Registry record

NPI
1003170242
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jul 2012
Record last updated
30 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.