Most Relevant Information
Provider Data
| NPI Number: | 1003677576 |
| Provider Name: | BRENDA LEE HANSEN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | P11119 |
Most Important Dates
| Enumeration Date: | 01/22/2024 |
| Last Updated: | 01/22/2024 |
Provider Practice Location
325 5TH ST
BROOKINGS
OR
974159656
Practice Location Phone/Fax
| Phone: | 5414691643 |
| Fax: |
Provider Mailing Location
7168 VISTA RIDGE DR
BROOKINGS
OR
974159105
Provider Mailing Phone/Fax
| Phone: | 2082974728 |
| Fax: |