Organization
HANSON PHARMACY AND WELLNESS CENTER
Active
Other names
HANSON PHARMACY AND WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CAIN RPH (PRESIDENT)
(270) 322-1234
Entity
Organization
Contact information
Practice address
7455 HANSON RD, HANSON, KY 42413-9481
(270) 322-1234
(270) 322-1235
Mailing address
7455 HANSON RD, HANSON, KY 42413-9481
(270) 322-1234
(270) 322-1235
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PO7115
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829552
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54011531
—
KY
05
—
90013210
—
KY
Enumeration date
05/10/2006
Last updated
08/19/2014
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