Dr. Brenda Lee Hansen, PharmD
Pharmacist in Brookings, OR. Individual provider (NPI-1).
NPI number1003677576
StatusActive
Last updated in NPPESJan 22, 2024
Details
- NPI
- 1003677576
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brenda Lee Hansen
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2024
- Certification date
- Jan 21, 2024
- Last updated
- Jan 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P11119 | ID | Yes |
Practice location
325 5th StBrookings, OR 97415-9656
Phone 541-469-1643
Mailing address
7168 Vista Ridge DrBrookings, OR 97415-9105
Phone 208-297-4728
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