Individual
JACOB HANKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1825 E WARNER RD, TEMPE, AZ 85284-3403
(480) 820-9984
Mailing address
2929 N 70TH ST, APT 2011, SCOTTSDALE, AZ 85251-6256
(319) 573-2652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018639
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S018639
ARIZONA BOARD OF PHARMACY
AZ
Enumeration date
07/31/2011
Last updated
07/31/2011
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