Individual
INGRID KAY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4668 CASCADE RD SE, GRAND RAPIDS, MI 49546-3718
(616) 949-0170
Mailing address
5434 THOROUGHBRED DR SW, WYOMING, MI 49418-8310
(616) 531-1595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029987
MI
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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