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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN TRAVIS HANSEN, PHARMD

Active Sole Proprietor

DR. JOHN TRAVIS HANSEN, PHARMD is a Geriatric Pharmacist healthcare provider located in WEST ST PAUL, Minnesota. NPI 1154822617 is currently active in the NPPES registry. Verify at CMS.

Geriatric Pharmacist · WEST ST PAUL, MN

Registration Details

NPI Number
1154822617
Provider Type
Individual
Gender
Male
NPI Issued
Feb 21, 2018 (8.4959909130381 yrs)
Last Updated
Feb 21, 2018
License
117974 (MN)
Sole Proprietor
Yes

Practice Information

Address
40 CRUSADER AVE W
WEST ST PAUL, MN, 551184425
Browse MN providers · Browse ZIP 55118
Phone
6122024788
Primary Specialty
Geriatric Pharmacist
1835G0303X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.