Individual
DR. PAUL ROBERT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1310 JOHNSON LANE, MARE ISLAND, VALLEJO, CA 94592
(804) 754-6118
Mailing address
6576 FRIARS RD, APT. 105, SAN DIEGO, CA 92108-1000
(804) 754-6118
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
63493
CA
Other
Enumeration date
09/30/2010
Last updated
10/05/2010
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