Healthcare Provider Details

I. General information

NPI: 1396695946
Provider Name (Legal Business Name): HANNAH ALLEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6141 WALNUT GROVE RD
MEMPHIS TN
38120-2179
US

IV. Provider business mailing address

4069 BRAMBLEWOOD DR
SOUTHAVEN MS
38672-5016
US

V. Phone/Fax

Practice location:
  • Phone: 901-226-1476
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number42485
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: