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NPI Code Detail

MEDICARE: RM ANDERSON, INC.

MEDICARE: RM ANDERSON, INC.
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
1333600000XPharmacy1772CT
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20711716OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1558439356
Entity Type Code : Organization
Provider Name (Legal Business Name) : RM ANDERSON, INC.
Provider Business Mailing Address
First Line : 296 BEDFORD ST
Second Line :
City : STAMFORD
State : CT
Zip : 06901-1720
Country : US
Telephone Number : 203-327-4479
Fax Number :
Provider Business Practice Location Address
First Line : 296 BEDFORD ST
Second Line :
City : STAMFORD
State : CT
Zip : 06901-1720
Country : US
Telephone Number : 203-327-4479
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : RICHARD M ANDERSON
Credential : RPH
Telephone Number : 203-327-4479
Provider Enumeration Date : 12/01/2006
Last Update Date : 03/07/2023

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