Individual
DR. BRANT DONALD HANISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
705 S FREMONT ST, SHENANDOAH, IA 51601-1570
(712) 246-4033
(712) 246-1101
Mailing address
1592 A AVE, ESSEX, IA 51638-6019
(712) 215-1810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2008028041
MO
183500000X
Pharmacist
Primary
20982
IA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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