Healthcare Provider Details

I. General information

NPI: 1326122466
Provider Name (Legal Business Name): ANDERSON PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 BRIDGE ST
SHELBURNE FALLS MA
01370-1131
US

IV. Provider business mailing address

PO BOX 188
SHELBURNE FALLS MA
01370-0188
US

V. Phone/Fax

Practice location:
  • Phone: 413-625-6324
  • Fax: 413-625-9018
Mailing address:
  • Phone: 413-625-6324
  • Fax: 413-625-9018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number12518
License Number StateMA

VIII. Authorized Official

Name: ZACHARY ELIAS BARRIEAU
Title or Position: MANAGER
Credential:
Phone: 413-261-6664