NPI 1992700819

Alan W Andersen, BSPHARM

Practitioner Pharmacist Incline Village, NV

Practice location

Address: 898 Tanager St In Care of Village Compounding Pharmacy, Incline Village, NV 89451
Phone: (775) 831-1133
Fax: (775) 831-2228
Mailing address: PO Box 3498, Incline Village, NV 89450-3498

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 3898 (NV)

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Pharmacy Service Providers Taxonomy 183500000X Licence 8194 (OR)

Registry record

NPI: 1992700819
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2005
Record last updated: 24 Oct 2007

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.