Individual
JORDAN RANDALL HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3001 E HIGHWAY 7, SUITE 100, MONTEVIDEO, MN 56265-4556
(320) 269-5496
(320) 269-8575
Mailing address
3001 E HIGHWAY 7, SUITE 100, MONTEVIDEO, MN 56265-4556
(320) 269-5496
(320) 269-8575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120617
MN
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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