DWANE LYLE HANSON

ALBANY, OR
NPI1932498557
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OR  6611)
Additional Taxonomies183500000X Pharmacist
(Licence: WA  PH60060820)
183500000X Pharmacist
(Licence: AZ  S017817)
183500000X Pharmacist
(Licence: TX  24695)
Enumeration Date2011-04-05
Last Update Date2011-04-05
Business Address
-- DWANE LYLE HANSON RPh
1235 WAVERLY DR SE
ALBANY, OR 97322-6944
Phone number: 541-928-8668
Mailing Address
-- DWANE LYLE HANSON RPh
PO BOX 61402 1704 DAVIS AVE
VANCOUVER, WA 98666-1402
Phone number: 503-516-9946