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

MR. ALAN W ANDERSEN, BS PHARM

Active Sole Proprietor

MR. ALAN W ANDERSEN, BS PHARM is a Pharmacist healthcare provider located in INCLINE VILLAGE, Nevada. NPI 1992700819 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · INCLINE VILLAGE, NV

Registration Details

NPI Number
1992700819
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2005 (21.143249318404 yrs)
Last Updated
Oct 24, 2007
Licenses
3898 (NV)
24992 (CA)
8194 (OR)
Sole Proprietor
Yes

Practice Information

Address
898 TANAGER ST
IN CARE OF VILLAGE COMPOUNDING PHARMACY
INCLINE VILLAGE, NV, 89451
Browse NV providers · Browse ZIP 89451
Phone
7758311133
Fax
7758312228
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist

Other Pharmacist Providers in INCLINE VILLAGE, NV

Name Credential NPI
MRS. AMANDA BROWN REITZEL R.PH. 1487794582
DR. JOHN W. LUTHER III PHARM.D. 1003183286
ROBERT OLOROSO PHARMD 1154758407
YVONNE COSTELLO 1972914604
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.