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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW VANDERWALL

Active

ANDREW VANDERWALL is a Pharmacist healthcare provider located in INDEPENDENCE, Oregon. NPI 1912375825 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · INDEPENDENCE, OR

Registration Details

NPI Number
1912375825
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2015 (10.910037314956 yrs)
Last Updated
Jan 5, 2016
Licenses
RPH-0014885 (OR)
RPH-0014885 (OR)

Practice Information

Address
1357 MONMOUTH ST
INDEPENDENCE, OR, 973511126
Browse OR providers · Browse ZIP 97351
Phone
5038382195
Fax
5038383129
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Providers in INDEPENDENCE, OR

Name Credential NPI
TERRY J CROWDER RPH 1457959959
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.