Jacqueline Hanson, RPH in Fennimore, WI - Pharmacist

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.

Contact Information

	Jacqueline Hanson, RPH
	1120 Lincoln Ave, Fennimore, WI 53809
	(608) 822-3601
	Not Available

Healthcare Provider's Profile

Full Name	Jacqueline Hanson
Gender	Female
Speciality	Pharmacist
Location	1120 Lincoln Ave, Fennimore, Wisconsin
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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Jacqueline Hanson, RPH - Pharmacist in Fennimore, WI