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Individual

JOHN HANM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
8000 LAKELAND AVE N, BROOKLYN PARK, MN 55445-2403
(763) 424-7077
(763) 424-8723
Mailing address
16600 92ND AVE N, 320, MAPLE GROVE, MN 55311-5445
(651) 366-7745

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122454
MN

Other

Enumeration date
07/31/2015
Last updated
07/31/2015
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