Anderson, Brandon Lee

Anderson, Brandon Lee is an individual health care provider with primary practice located at 3051 William St , Cape Girardeau MO 63703-6393. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Anderson, Brandon Lee can be contacted via phone (573) 339-0909.

Contact Information

Primary practice address
3051 William St Cape Girardeau MO 63703-6393
Phone: (573) 339-0909
Fax: (573) 339-5940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2009030884 Missouri
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 2009030884 Missouri

Profile Details

NPI number 1003170242
LBN Legal business name Anderson, Brandon Lee
Credentials PHARMD, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2012
Last updated Nov 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003170242 NPPES
Missouri MEDICAID 1619180130

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