Individual
CHAD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3291 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3022
(801) 478-0127
(801) 478-0146
Mailing address
3291 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3022
(801) 478-0127
(801) 478-0146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7685284-1701
UT
183500000X
Pharmacist
P7483
ID
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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