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NPI Code Detail

MEDICARE: LLHAN, LLC

MEDICARE: LLHAN, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1124715206
Entity Type Code : Organization
Provider Name (Legal Business Name) : LLHAN, LLC
Provider Business Mailing Address
First Line : 2334 SOUTH BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5008
Country : US
Telephone Number : 704-523-8608
Fax Number :
Provider Business Practice Location Address
First Line : 2334 SOUTH BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5008
Country : US
Telephone Number : 704-523-8608
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHRISTOPHER KWANG HAN
Credential : PHARM.D
Telephone Number : 704-523-8608
Provider Enumeration Date : 04/19/2023
Last Update Date : 04/19/2023

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