VERNON ANDERSEN INC
Pharmacy at Bethalto Dr, Fort Russell, IL

License number
Illinois 054014647
Category
Suppliers
Type
Pharmacy
Owner
Name: MR. VERNON EUGENE ANDERSEN RPH
Title: PRESIDENT
Phone: (618) 377-5356
Address
Address
341 W Bethalto Dr, Fort Russell, IL 62010
National Provider ID: 1407867906
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VERNON ANDERSEN, INC

Bethalto, IL 62010

Registration:
Apr 17, 2001
State ID:
61610162
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Vernon Andersen,341 W Bethalto Dr, Bethalto, IL 62010 (Physical)

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