MR. Bert John Hanson

NPI #1306168968 in Bloomington, Illinois

Provider Information

NPI Number: 1306168968
Entity Type: Individual
Name: MR. Bert John Hanson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 24, 2010
Last Updated: Feb 24, 2010

Practice Location

Address: 3 BROOKLINE CT
City: Bloomington
State: Illinois
ZIP Code: 61705-8737
Phone: (309) 664-0741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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