Provider Demographics
NPI:1619730306
Name:HANCE, DAVID BLAND JR (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:BLAND
Last Name:HANCE
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10913 NW 30TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5029
Mailing Address - Country:US
Mailing Address - Phone:502-424-5032
Mailing Address - Fax:
Practice Address - Street 1:10913 NW 30TH ST STE 102
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-5029
Practice Address - Country:US
Practice Address - Phone:888-648-1134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL667041835C0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile Preparations