Dominic A. Hanson, PHARMD Valid NPI

Individual provider · Pharmacist · Brainerd, MN

NPI

1922446061

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

117231 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2013-06-11

Last updated

2015-08-14