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Individual

DR. KARI L HANNEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, RPH

Contact information

Practice address
411 MAIN ST, MAPLETON, IA 51034-1212
(712) 881-1033
(712) 881-1206
Mailing address
411 MAIN ST, MAPLETON, IA 51034-1212
(712) 881-1033
(712) 881-1206

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
11760
NE
183500000X
Pharmacist
Primary
21117
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11760
NEBRASKA PHARMACY LICENSE
NE
01
21117
IOWA STATE PHARMACY LICENSE
NE
Enumeration date
03/31/2010
Last updated
11/06/2020
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