MEDICARE: DR. HANNAH ENGLISH NORTH PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03236937	OH

General Provider Information

NPI Number	:	1639685522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANNAH ENGLISH NORTH PHARMD

Provider Business Mailing Address
First Line	:	126 W HIGH ST
Second Line	:
City	:	FOSTORIA
State	:	OH
Zip	:	44830-2134
Country	:	US
Telephone Number	:	419-435-4190
Fax Number	:	419-435-4355

Provider Business Practice Location Address
First Line	:	126 W HIGH ST
Second Line	:
City	:	FOSTORIA
State	:	OH
Zip	:	44830-2134
Country	:	US
Telephone Number	:	419-435-4190
Fax Number	:	419-435-4355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2017
Last Update Date	:	12/14/2017

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