Healthcare Provider Details

I. General information

NPI: 1003338393
Provider Name (Legal Business Name): HANNA DEHNERT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2017
Last Update Date: 07/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 W GOOD HOPE RD
MILWAUKEE WI
53209-2042
US

IV. Provider business mailing address

N91W16151 JUNCTION WAY UNIT 104
MENOMONEE FALLS WI
53051-3265
US

V. Phone/Fax

Practice location:
  • Phone: 414-540-9236
  • Fax:
Mailing address:
  • Phone: 608-438-4085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18833-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: