Healthcare Provider Details

I. General information

NPI: 1811235823
Provider Name (Legal Business Name): DENNIS ELVIN HANSEN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2013
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 HIGHWAY 64 EAST
CASHIERS NC
28717
US

IV. Provider business mailing address

PO BOX 1913
CASHIERS NC
28717-1913
US

V. Phone/Fax

Practice location:
  • Phone: 828-743-6312
  • Fax: 828-743-1973
Mailing address:
  • Phone: 828-743-6312
  • Fax: 828-743-1973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16048
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19140
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: