HAROLD SHANE ANDERSON

PORTLAND, IN
NPI1982209722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26019299a)
Enumeration Date2020-12-01
Last Update Date2020-12-01
Business Address
HAROLD SHANE ANDERSON
950 W VOTAW ST
PORTLAND, IN 47371-1254
Phone number: 260-726-3782
Mailing Address
HAROLD SHANE ANDERSON
950 W VOTAW ST
PORTLAND, IN 47371-1254
Phone number: 260-726-3782