Provider Demographics
NPI:1578175014
Name:HOSANNA, ANDERSEN CHRISTIAN (PHARMD)
Entity type:Individual
Prefix:
First Name:ANDERSEN
Middle Name:CHRISTIAN
Last Name:HOSANNA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6218 AVON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-2608
Mailing Address - Country:US
Mailing Address - Phone:626-726-7084
Mailing Address - Fax:
Practice Address - Street 1:816 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4054
Practice Address - Country:US
Practice Address - Phone:626-293-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90805183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist