Individual
MARK HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1400 164TH ST SW, LYNNWOOD, WA 98087-8515
(425) 741-3646
Mailing address
1400 164TH ST SW, LYNNWOOD, WA 98087-8515
(425) 741-3646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010185
WA
Other
Enumeration date
10/05/2014
Last updated
10/05/2014
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