IndividualActive
Alyssa Hansen, RPH, PHARMD
NPI 1407463102 · Community/Retail Pharmacy · Macomb, MI
Provider details
- NPI number
- 1407463102
- Entity type
- Individual
- Primary specialty
- Community/Retail PharmacySuppliers
- Credential
- RPH, PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5302412946 (MI)
Specialties & taxonomies
Suppliers
Practice location
20877 Hall Rd
Macomb, MI 48044-4256
Phone: (586) 464-1129
Approximate (ZIP-level) locationGet directions
Mailing address
61564 Woodfield Way
Washington, MI 48094-1535
Registry dates
- Enumerated
- 2020-09-26
- Last updated
- 2020-09-26
- Certified
- 2020-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.