Cody Kim Hansen, PHARMD Valid NPI

Individual provider · Pharmacist · Saint George, UT

NPI

1639388168

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

5725931-8911 (UT)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-22

Last updated

2007-07-08