Individual
BENJAMIN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2150 COUNTRY CLUB RD STE 300, WINSTON SALEM, NC 27104
(336) 718-0050
Mailing address
150 PETERS CREEK PKWY APT 209, WINSTON SALEM, NC 27101-3684
(828) 234-3420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25983
NC
Other
Enumeration date
05/11/2017
Last updated
09/03/2018
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