Provider Demographics
NPI:1811235823
Name:HANSEN, DENNIS ELVIN (RPH)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:ELVIN
Last Name:HANSEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1913
Mailing Address - Street 2:
Mailing Address - City:CASHIERS
Mailing Address - State:NC
Mailing Address - Zip Code:28717-1913
Mailing Address - Country:US
Mailing Address - Phone:828-743-6312
Mailing Address - Fax:828-743-1973
Practice Address - Street 1:230 HIGHWAY 64 EAST
Practice Address - Street 2:
Practice Address - City:CASHIERS
Practice Address - State:NC
Practice Address - Zip Code:28717
Practice Address - Country:US
Practice Address - Phone:828-743-6312
Practice Address - Fax:828-743-1973
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16048183500000X
FL19140183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist