Individual
MR. JACK C HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1630 E 7TH ST, ATLANTIC, IA 50022-1909
(712) 243-2240
Mailing address
1309 ELM ST, ATLANTIC, IA 50022-2335
(712) 243-7717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20468
IA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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