Organization
CHRISTIANSEN, LLC
Active
Other names
HANS' PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANS CRAIGEN CHRISTIANSEN RPH (OWNER)
(541) 416-1970
Entity
Organization
Contact information
Practice address
136 NE 3RD ST, PRINEVILLE, OR 97754-1915
(541) 416-1970
(541) 416-1972
Mailing address
136 NE 3RD ST, PRINEVILLE, OR 97754-1915
(541) 416-1970
(541) 416-1972
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0001687-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210239
—
OR
Enumeration date
02/06/2007
Last updated
08/22/2020
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