Healthcare Provider Details

I. General information

NPI: 1497660534
Provider Name (Legal Business Name): HANA SARA TABBAA PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 W TENNESSEE ST
TALLAHASSEE FL
32304-1029
US

IV. Provider business mailing address

467 SUDDUTH AVE
PANAMA CITY FL
32401-3958
US

V. Phone/Fax

Practice location:
  • Phone: 850-574-4613
  • Fax:
Mailing address:
  • Phone: 850-481-5479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71179
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: