Healthcare Provider Details

I. General information

NPI: 1568302685
Provider Name (Legal Business Name): HANNAH ALICE TANAMA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6650 ALTON PKWY
IRVINE CA
92618-3734
US

IV. Provider business mailing address

3012 HARDING WAY
COSTA MESA CA
92626-2846
US

V. Phone/Fax

Practice location:
  • Phone: 949-932-5090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92102
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: