DR. Anderson Mabour, PHARMD, BCPS

NPI #1083320949 in Pine Ridge, South Dakota

Provider Information

NPI Number: 1083320949
Entity Type: Individual
Name: DR. Anderson Mabour, PHARMD, BCPS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD, BCPS
Enumeration Date: Jan 25, 2023
Last Updated: Jan 25, 2023

Practice Location

Address: 607 INDIAN HEALTH RD
City: Pine Ridge
State: South Dakota
ZIP Code: 57770-3169
Phone: (605) 867-3195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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