Individual
DR. CODY KIM HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3611 DUCATI WAY, SAINT GEORGE, UT 84790-6635
(435) 668-5898
(435) 674-2963
Mailing address
3611 DUCATI WAY, SAINT GEORGE, UT 84790-6635
(435) 668-5898
(435) 674-2963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16444
NV
183500000X
Pharmacist
Primary
5725931-8911
UT
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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