Jacqueline Hanson, RPH is a
Pharmacist based in Fennimore, Wisconsin. Jacqueline Hanson is licensed to practice in Wisconsin (license number 11885-40) and her current practice location is
1120 Lincoln Ave, Fennimore, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 822-3601.
NPI number for Jacqueline Hanson is 1164955563 and her current mailing address is 22514 Thiede Rd, Muscoda, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164955563.
Healthcare Provider's Profile
Full Name | Jacqueline Hanson |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 1120 Lincoln Ave, Fennimore, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164955563
- Provider Enumeration Date: 04/04/2017
- Last Update Date: 04/04/2017
Medical Identifiers
Medical identifiers for Jacqueline Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164955563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 11885-40 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Hanson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacqueline Hanson, RPH 22514 Thiede Rd, Muscoda, WI 53573 Ph: () - | Jacqueline Hanson, RPH 1120 Lincoln Ave, Fennimore, WI 53809 Ph: (608) 822-3601 |
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