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DARRELL HANSCHEN
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1669841979
Individual Registrant: DARRELL HANSCHEN
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2220 MAIN ST SCOTT CITY, MO 63780-1329 US
Tel: 573-264-2450 Fax: --
Tel: 573-264-2450 Fax: --
Contact information for business:
2220 MAIN ST SCOTT CITY, MO 63780-1329 US
Tel: 573-264-2450 Fax: --
Tel: 573-264-2450 Fax: --
Registration Information:
NPI: 1669841979
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | MO | 40555 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
