DR. Cory Lane Hansen, PHARM.D.

NPI #1609084979 in Provo, Utah

Provider Information

NPI Number: 1609084979
Entity Type: Individual
Name: DR. Cory Lane Hansen, PHARM.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: May 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1034 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3380
Phone: (801) 357-7051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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