Individual provider · Type 1 NPI

Matthew Robert Anderson

Pharmacist · West Lafayette, IN

NPI number 1093624322 Active

Practice location

575 Stadium Mall Dr
West Lafayette, IN 47907-2091

Mailing address

712 Franklin Ln
Lindenhurst, IL 60046-4985

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X45024376A (IN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1093624322

Matthew Robert Anderson's National Provider Identifier is 1093624322, issued on Sep 2, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in West Lafayette, IN. The record was last updated on Sep 2, 2026.