Harold Shane Anderson

NPI #1982209722 in Portland, Indiana

Provider Information

NPI Number: 1982209722
Entity Type: Individual
Name: Harold Shane Anderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 1, 2020
Last Updated: Dec 1, 2020

Practice Location

Address: 950 W VOTAW ST
City: Portland
State: Indiana
ZIP Code: 47371-1254
Phone: (260) 726-3782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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