Individual
KERRY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 BURDICK EXPY W, MINOT, ND 58701-4498
(701) 838-2213
(701) 838-2227
Mailing address
1642 14TH AVE SW, MINOT, ND 58701-9111
(701) 839-0156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3641
ND
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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