Provider Demographics
NPI:1225124308
Name:ANDERSON, ALYNE NEWELL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALYNE
Middle Name:NEWELL
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:COOPERS MILLS
Mailing Address - State:ME
Mailing Address - Zip Code:04341-0236
Mailing Address - Country:US
Mailing Address - Phone:207-623-8411
Mailing Address - Fax:207-623-5731
Practice Address - Street 1:1 VA CTR
Practice Address - Street 2:119
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6719
Practice Address - Country:US
Practice Address - Phone:207-623-8411
Practice Address - Fax:207-623-5731
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211581835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy