Individual
GLENN M HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 S MCKENZIE ST, FOLEY, AL 36535-1818
(850) 462-9555
Mailing address
1255 S MCKENZIE ST, FOLEY, AL 36535-1818
(251) 971-1017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202213262
VA
183500000X
Pharmacist
17958
AL
183500000X
Pharmacist
PS49955
FL
183500000X
Pharmacist
Primary
RPH025135
GA
Other
Enumeration date
03/08/2011
Last updated
08/09/2015
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