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Individual

DR. SHARON H. HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
712 TILLOTSON ST, TRINIDAD, CO 81082-2325
(719) 859-2225
Mailing address
PO BOX 7, 712 TILLOTSON ST., TRINIDAD, CO 81082-0007
(719) 859-2225

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11179
CO
183500000X
Pharmacist
26017521A
IN
183500000X
Pharmacist
33141
CA

Other

Enumeration date
09/07/2012
Last updated
07/13/2016
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