Individual
MICHELLE HANSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
165 COUNTRY CENTER DR, PAGOSA SPRINGS, CO 81147-8935
(970) 731-6006
(970) 731-6015
Mailing address
165 COUNTRY CENTER DR, PAGOSA SPRINGS, CO 81147-8935
(970) 731-6006
(970) 731-6015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16767
CO
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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