Individual
CHRISTOPHER WALTER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 SOUTH ST, PHILADELPHIA, PA 19146
(267) 273-7585
Mailing address
1800 SOUT ST, PHILADELPHIA, PA 19146
(267) 273-7585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP448483
PA
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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