Healthcare Provider Details

I. General information

NPI: 1194387357
Provider Name (Legal Business Name): ANNA KARMAE HANSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA KARMAE KLOSTER

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 07/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E 1ST ST
DULUTH MN
55805-1901
US

IV. Provider business mailing address

9292 EDGEWATER CIR S
BREEZY POINT MN
56472-3230
US

V. Phone/Fax

Practice location:
  • Phone: 218-786-2151
  • Fax:
Mailing address:
  • Phone: 218-537-0391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number124351
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: