MEDICARE: AMBER ANDERSON PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	23067	NV
2	183500000X	Pharmacist	8393275-1701	UT

General Provider Information

NPI Number	:	1194432419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER ANDERSON PHARMD

Provider Business Mailing Address
First Line	:	211 W CENTER ST
Second Line	:
City	:	IVINS
State	:	UT
Zip	:	84738-6205
Country	:	US
Telephone Number	:	435-619-1710
Fax Number	:

Provider Business Practice Location Address
First Line	:	1849 W SUNSET BLVD
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84770-6508
Country	:	US
Telephone Number	:	435-879-5165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/07/2022

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Directions to “ AMBER ANDERSON PHARMD” Practice Location

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