Individual
DR. GREGORY SCOTT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
412 EAST 200 NORTH, LOGAN, UT 84321
(435) 713-2700
Mailing address
412 EAST 200 NORTH, LOGAN, UT 84321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8187104-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8187104-1701
PHARMACIST LICENSE
UT
Enumeration date
04/15/2019
Last updated
04/15/2019
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