Anderson, Larry Dean
Anderson, Larry Dean is an sole proprietor health care provider with primary practice located at 1003 Willow Creek Rd , Prescott AZ 86301-1641. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Anderson, Larry Dean can be contacted via phone (928) 771-5364.Contact Information
Primary practice address
1003 Willow Creek Rd
Prescott AZ 86301-1641
Phone: (928) 771-5364
Fax: (928) 771-5502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 8973 | Arizona |
Profile Details
| NPI number | 1780619106 |
|---|---|
| LBN Legal business name | Anderson, Larry Dean |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780619106 | NPPES |
| Arizona | Other | 8973 | AZ PHARMACIST LICENSE |
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