Provider Demographics
NPI:1427492180
Name:HANSEN, JAMES M (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:HANSEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 S HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-4012
Mailing Address - Country:US
Mailing Address - Phone:303-779-4242
Mailing Address - Fax:303-843-6021
Practice Address - Street 1:8200 S HOLLY ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-4012
Practice Address - Country:US
Practice Address - Phone:303-779-4242
Practice Address - Fax:303-843-6021
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11227183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist