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Mr. Mark Gruen Anderson, RPH
Pharmacist in Plymouth, Wisconsin
NPI 1629334073

Mark Gruen Anderson is a Pharmacist based in Fond Du Lac, WI. Mark Gruen Anderson practices in Plymouth, WI and has the professional credentials of RPH. The NPI Number for Mark Gruen Anderson is 1629334073 and holds a License No. 9189-40 (Wisconsin).

The current practice location address for Mark Gruen Anderson is 2615 Eastern Ave, Plymouth, WI and can be reached out via phone at 920-892-4182.

Location: 2615 Eastern Ave, Plymouth, WI, 54935-3022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629334073
Provider Name
Mark Gruen Anderson
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
2615 Eastern Ave, Plymouth, WI, 54935-3022
Phone Number
920-892-4182
Fax Number
Provider Enumeration Date
04/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2615 Eastern Ave
City
Plymouth
State
Wisconsin
Zip
53073-4270
Phone Number
920-892-4182
Fax Number
person
Provider Business Mailing Address Details
Address
2615 Eastern Ave
City
Plymouth
State
Wisconsin
Zip
53073-4270
Phone Number
920-892-4182
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
9189-40 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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