Paige Hansen, PHARMD

NPI #1255753547 in Ammon, Idaho

Provider Information

NPI Number: 1255753547
Entity Type: Individual
Name: Paige Hansen, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jan 6, 2014
Last Updated: Jan 6, 2014

Practice Location

Address: 2438 STAFFORD DR
City: Ammon
State: Idaho
ZIP Code: 83401-5879
Phone: (208) 705-5009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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