Individual provider · Type 1 NPI

Dustin Blake Anderson, PharmD

Pharmacist · Upper Marlboro, MD

NPI number 1205381209 Active

Practice location

10692 Campus Way S
Upper Marlboro, MD 20774-1307

Mailing address

815 Thayer Ave Apt 524
Silver Spring, MD 20910-4589

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH100002455 (DC)
Pharmacist 183500000X24310 (MD)
Pharmacist 183500000X061897 (NY)

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 1205381209

Dustin Blake Anderson, PharmD's National Provider Identifier is 1205381209, issued on Aug 18, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Aug 18, 2016.