MR. MARK GRUEN ANDERSON RPH
NPI 1629334073
Pharmacist in Plymouth, WI

Active since April 10, 2012
2615 EASTERN AVE, PLYMOUTH, WI 53073(920) 892-4182 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark Gruen Anderson Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK GRUEN ANDERSON RPH (NPI 1629334073) is an individual pharmacist in Plymouth, Wisconsin, licensed in Wisconsin (9189-40) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1629334073
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. MARK GRUEN ANDERSONCredential: RPH
Location Address2615 EASTERN AVEPlymouth, WI 53073-4270
Mailing Address626 Thomas StFond Du Lac, WI 54935-3022 · (920) 892-4182
Sole ProprietorYes
Enumeration DateApril 10, 2012
NPI 1629334073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 9189-40
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

2615 EASTERN AVE, Plymouth, WI 53073

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2615 EASTERN AVE
PLYMOUTH, WI 53073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Anderson's NPI number?

The NPI number for Mark Anderson is 1629334073. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Mark Anderson located?

Mark Anderson practices at 2615 Eastern Ave, Plymouth, WI 53073. The listed phone number is (920) 892-4182.

What is Mark Anderson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mark Anderson was last updated on April 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.