Individual
ELIZABETH CORAZZO HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
136 STUTTS RD, SUITE 1A, MOORESVILLE, NC 28117-6402
(704) 799-0078
(704) 799-0063
Mailing address
136 STUTTS RD, SUITE 1A, MOORESVILLE, NC 28117-6402
(704) 799-0078
(704) 799-0063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15374
NC
183500000X
Pharmacist
9004
CT
183500000X
Pharmacist
PS34588
FL
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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