Healthcare Provider Details

I. General information

NPI: 1265120133
Provider Name (Legal Business Name): RICHARD GENE HANSSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7789 RICHMOND HWY
APPOMATTOX VA
24522-8680
US

IV. Provider business mailing address

7789 RICHMOND HWY
APPOMATTOX VA
24522-8680
US

V. Phone/Fax

Practice location:
  • Phone: 434-352-6414
  • Fax: 434-352-6417
Mailing address:
  • Phone: 434-352-6414
  • Fax: 434-352-6417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202220476
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: