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Todd Hansen
NPI 1194204255 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3250 Midway Dr
Ammon, ID 83406 - Phone
- (208) 552-7677
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho