Organization
LARS HANSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AN-LI CHIANG (CFO)
(626) 375-1505
Entity
Organization
Contact information
Practice address
145 S CHAPARRAL CT STE AND102, ANAHEIM, CA 92808-2265
(626) 390-8199
Mailing address
723 S CASINO CENTER BLVD FL 2, LAS VEGAS, NV 89101-6716
(626) 375-1505
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G79925
CA
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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