Cory Lane Hansen is a Pharmacist in Provo, Utah. Cory Lane Hansen practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Cory Lane Hansen is 1609084979. The last update date is 2007-07-08.
Cory Lane Hansen's current location address is 434 N 2800 W, Provo, Utah. You can contact this provider via phone number 8017030554. The mailing address for Cory Lane Hansen is 434 N 2800 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Cory Lane Hansen |
---|---|
Address | 434 N 2800 W, Provo, Utah |
Phone Number | 8017030554 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHARM.D. |
NPI Number Detail
NPI Number | 1609084979 |
---|---|
Provider Enumeration Date | 2007-05-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 434 N 2800 W |
---|---|
City | Provo |
State | Utah (UT) |
Post Code | 846015115 |
Phone Number | 8017030554 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
---|---|
Taxonomy | 183500000X |
Licence No | 5039288-1701 |
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
Post Comment/ Review Below
What is the unique provider identifier assigned to Cory Lane Hansen?
The Cory Lane Hansen has been issued the NPI (National Provider Identifier) 1609084979 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Cory Lane Hansen?
The Cory Lane Hansen is physically situated at 434 N 2800 W, in the city of Provo, state of UT, with the postal code 846015115.
What is the area of specialization for Cory Lane Hansen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Cory Lane Hansen is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609084979 to Cory Lane Hansen?
The Centers for Medicare & Medicaid Services assigned the 1609084979 to Cory Lane Hansen on 2007-05-19.
When was the Cory Lane Hansen's information last updated?
The Cory Lane Hansen's information was last updated on 2007-07-08.