Individual provider · Type 1 NPI
Mark Gruen Anderson, RPH
Pharmacist · Plymouth, WI
Practice location
2615 Eastern Ave
Plymouth, WI 53073-4270
Mailing address
626 Thomas St
Fond Du Lac, WI 54935-3022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 9189-40 (WI) |
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 1629334073
Mark Gruen Anderson, RPH's National Provider Identifier is 1629334073, issued on Apr 10, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Plymouth, WI. The record was last updated on Apr 10, 2012.