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NPI Code Detail

MEDICARE: ERIK LAWRENCE HANSON PHARMD

MEDICARE: ERIK LAWRENCE HANSON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPD15234AR

General Provider Information

NPI Number : 1598492241
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIK LAWRENCE HANSON PHARMD
Provider Business Mailing Address
First Line : 501 RED ROCK CIR
Second Line :
City : CAVE SPRINGS
State : AR
Zip : 72718-8810
Country : US
Telephone Number : 843-906-7160
Fax Number :
Provider Business Practice Location Address
First Line : 1100 N COLLEGE AVE
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-1999
Country : US
Telephone Number : 843-906-7160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2022
Last Update Date : 08/03/2022

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