MR. Dane Ryan Anderson

NPI #1043627995 in Augusta, Kansas

Provider Information

NPI Number: 1043627995
Entity Type: Individual
Name: MR. Dane Ryan Anderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 11, 2014
Last Updated: Jul 11, 2014

Practice Location

Address: 1510 OHIO ST
City: Augusta
State: Kansas
ZIP Code: 67010-2157
Phone: (316) 775-5456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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