Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Gruen Anderson, RPH

Individual provider Pharmacist · NPI 1629334073

Mr. Mark Gruen Anderson, RPH is a Pharmacist in Plymouth, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2615 Eastern Ave
Plymouth, WI 53073-4270
Phone: (920) 892-4182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 9189-40 (WI)

Record details

NPI number1629334073
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedApril 10, 2012
Last updated in NPPESApril 10, 2012

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