Individual
JESS HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2503 E 54TH ST N, SIOUX FALLS, SD 57104-5563
(605) 978-3900
(888) 868-8660
Mailing address
PO BOX 5736, SIOUX FALLS, SD 57117-5736
(605) 978-3900
(888) 868-8660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5061
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5061
PHARMACY LICENSE
SD
Enumeration date
04/01/2015
Last updated
04/01/2015
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