Individual
REBECCA RUTH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D,
Contact information
Practice address
528 CASS ST, LA CROSSE, WI 54601-4507
(608) 784-9922
(608) 784-2212
Mailing address
528 CASS ST, LA CROSSE, WI 54601-4507
(608) 784-9922
(608) 784-2212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
120351
MN
183500000X
Pharmacist
Primary
15784-40
WI
183500000X
Pharmacist
21055
IA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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