Individual
DOMINIC A. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-7455
Mailing address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-7455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117231
MN
183500000X
Pharmacist
1366
AK
Other
Enumeration date
06/11/2013
Last updated
08/14/2015
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