Healthcare Provider Details

I. General information

NPI: 1487724787
Provider Name (Legal Business Name): HANNA K WON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 WORTH ST SUITE 170
DALLAS TX
75246-2006
US

IV. Provider business mailing address

2109 MONTICELLO CIR
PLANO TX
75075-5517
US

V. Phone/Fax

Practice location:
  • Phone: 214-370-1618
  • Fax: 214-370-1622
Mailing address:
  • Phone: 469-226-1810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302028000
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number37150
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number37150
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number8302028000
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: