Organization
JC HANSEN INC
Active
Other names
HANSENS PHARMACY AND VARIETY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY AL HANSEN (PRESIDENT)
(989) 427-5275
Entity
Organization
Contact information
Practice address
326 E MAIN ST, EDMORE, MI 48829-9346
(989) 427-5275
(989) 427-5973
Mailing address
326 E MAIN ST, EDMORE, MI 48829-0019
(989) 427-5275
(989) 427-5973
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301005863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042233
PK
—
05
—
2351346
—
MI
05
—
2925124
—
MI
Enumeration date
10/02/2006
Last updated
04/09/2021
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