Anderson, Lyle Willard

Anderson, Lyle Willard is an individual health care provider with primary practice located at 530 2Nd St Micklesen Drug Inc, Hudson MI 54016. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Anderson, Lyle Willard can be contacted via phone (715) 386-3344.

Contact Information

Primary practice address
530 2Nd St Micklesen Drug Inc Hudson MI 54016
Phone: (715) 386-3344
Fax: (715) 386-5198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1098244 Minnesota
Pharmacy Service Providers / Pharmacist 183500000X 10443040 Wisconsin

Profile Details

NPI number 1215122981
LBN Legal business name Anderson, Lyle Willard
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Sep 6th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215122981 NPPES
Other 1098244 MN LICENSE
Other 10443040 MN LICENSE

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