Individual
LESLIE BRANDT HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
330 S STILLAGUAMISH AVE, ARLINGTON, WA 98223-1642
(360) 435-2133
(360) 403-4122
Mailing address
330 S STILLAGUAMISH AVE, ARLINGTON, WA 98223-1642
(360) 435-2133
(360) 403-4122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00011491
WA
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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