Individual
JULIE DIANE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
8150 WEDGEWOOD LN N, MAPLE GROVE, MN 55369-9400
(763) 494-8355
(763) 494-8358
Mailing address
11306 GOOSE LAKE PKWY, MAPLE GROVE, MN 55369-9423
(612) 419-5351
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
MN116652
MN
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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