Doris Marie Anderson, PHARMD
Individual provider Active NPI Pharmacist · Altoona, IA
NPI 1972886596 · NPPES record last updated Sep 20, 2011
Key facts
- NPI
- 1972886596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15407 (IA)
- Practice address
- 101 8TH St SE
Altoona, IA 50009-1938 - Phone
- (515) 967-2699
- NPI assigned
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15407 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15407 | IA | Yes |
Addresses
Primary practice location
101 8TH St SE
Altoona, IA 50009-1938
Mailing address
101 8TH St SE
Altoona, IA 50009-1938
Phone (515) 967-2699
Other providers in Altoona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.