Most Relevant Information
Provider Data
| NPI Number: | 1003247024 |
| Provider Name: | RYAN ALAN HANSEN RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH-0013904 |
Most Important Dates
| Enumeration Date: | 12/01/2013 |
| Last Updated: | 12/01/2013 |
Provider Practice Location
1377 NE STEPHENS ST
ROSEBURG
OR
974702159
Practice Location Phone/Fax
| Phone: | 5416721509 |
| Fax: |
Provider Mailing Location
2803 NW KLINE ST
ROSEBURG
OR
974715552
Provider Mailing Phone/Fax
| Phone: | 5415172746 |
| Fax: |