Individual provider · Type 1 NPI

Cory Lane Hansen, PharmD

Pharmacist · Provo, UT

NPI number 1609084979 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Mailing address

434 N 2800 W
Provo, UT 84601-5115

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5039288-1701 (UT)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1609084979

Cory Lane Hansen, PharmD's National Provider Identifier is 1609084979, issued on May 19, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.