Healthcare Provider Details

I. General information

NPI: 1942852280
Provider Name (Legal Business Name): HANNAH CLAAR BRAGG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 MLK BLVD
ASHLAND KY
41101-2668
US

IV. Provider business mailing address

711 MLK BLVD
ASHLAND KY
41101-2668
US

V. Phone/Fax

Practice location:
  • Phone: 304-733-3373
  • Fax:
Mailing address:
  • Phone: 814-215-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number021264
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03439482
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP0011694
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: