Andrew Vanderwall, is a
Pharmacist based in Independence, Oregon. Andrew Vanderwall is licensed to practice in Oregon (license number RPH-0014885) and his current practice location is
1357 Monmouth St, Independence, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 838-2195.
NPI number for Andrew Vanderwall is 1912375825 and his current mailing address is 916 W Evergreen Blvd, Vancouver, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912375825.
Healthcare Provider's Profile
| Full Name | Andrew Vanderwall |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 1357 Monmouth St, Independence, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912375825
- Provider Enumeration Date: 09/09/2015
- Last Update Date: 01/05/2016
Medical Identifiers
Medical identifiers for Andrew Vanderwall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912375825 | NPI | - | NPPES |
| RPH-0014885 | Other | OR | OREGON RPH LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | RPH-0014885 (Oregon) | Primary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | RPH-0014885 (Oregon) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew Vanderwall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Andrew Vanderwall,
916 W Evergreen Blvd,
Vancouver, WA 98660-3035
Ph: (360) 213-2236 | Andrew Vanderwall,
1357 Monmouth St,
Independence, OR 97351-1126
Ph: (503) 838-2195 |
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