JC Hansen Inc
Organization Active NPI Community/Retail Pharmacy · Edmore, MI
NPI 1295828465 · NPPES record last updated Apr 9, 2021
Key facts
- NPI
- 1295828465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301005863 (MI)
- Legal business name
- JC HANSEN INC
- Practice address
- 326 E Main St
Edmore, MI 48829-9346 - Phone
- (989) 427-5275
- Fax
- (989) 427-5973
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Al Hansen
- Title
- President
- Phone
- (989) 427-5275
Practitioners 2
-
Ralph Robert Elsner, RPH
-
Charles Odonald, PHARMACIST
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301005863 | MI | Yes |
Addresses
Primary practice location
326 E Main St
Edmore, MI 48829-9346
Mailing address
326 E Main St
Edmore, MI 48829-0019
Phone (989) 427-5275
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2351346 | Medicaid | MI | |
| 2925124 | Medicaid | MI | |
| 2042233 | Other | PK |
Other names
- HANSENS PHARMACY AND VARIETY
Other providers in Edmore, MI
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- Jared L Halsey
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- J B Elliot MD PC
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- Shawn Kinser
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- Melinda D Lang
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All providers in Edmore, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2021. 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.