April Rose Hanson, PHARMD
Individual provider Active NPI Pharmacist · Tyler, MN
NPI 1154415172 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154415172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 117986-2 (MN)
- Practice address
- 240 Willow Street
Tyler, MN 56178 - Phone
- (507) 247-5521
- Fax
- (507) 247-5184
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19953 | IA | MD | Pharmacist |
| 117986-2 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 117986-2 | MN | Yes |
| Pharmacist | 183500000X | 19953 | IA |
Addresses
Primary practice location
240 Willow Street
Tyler, MN 56178
Mailing address
PO Box 174
Tyler, MN 56178
Phone (507) 247-8898
Other providers in Tyler, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.