Individual
ALYSSA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
20877 HALL RD, MACOMB, MI 48044-4256
(586) 464-1129
Mailing address
61564 WOODFIELD WAY, WASHINGTON, MI 48094-1535
(586) 850-2988
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5302412946
MI
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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