Healthcare Provider Details

I. General information

NPI: 1295669349
Provider Name (Legal Business Name): HANNAH MARIE LEE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 S 8TH ST
MINNEAPOLIS MN
55404-7530
US

IV. Provider business mailing address

410 N 2ND ST APT 447
MINNEAPOLIS MN
55401-5320
US

V. Phone/Fax

Practice location:
  • Phone: 612-873-5026
  • Fax:
Mailing address:
  • Phone: 763-458-9478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835E0208X
TaxonomyEmergency Medicine Pharmacist
License Number127074
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: