Individual
LEE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
5537 W BROADWAY AVE, T-0003, CRYSTAL, MN 55428-3507
(763) 533-1651
Mailing address
5537 W BROADWAY AVE, T-0003, CRYSTAL, MN 55428-3507
(763) 533-1651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119792
MN
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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