MEDICARE: MRS. ANN HANNA RPH

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
1	183500000X	Pharmacist	PS43349	FL

General Provider Information

NPI Number	:	1235760729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANN HANNA RPH

Provider Business Mailing Address
First Line	:	5725 AUTUMN FERN CIR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34238-5187
Country	:	US
Telephone Number	:	941-830-2255
Fax Number	:

Provider Business Practice Location Address
First Line	:	10237 BAY PINES BLVD
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33708-3131
Country	:	US
Telephone Number	:	727-345-8319
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2020
Last Update Date	:	02/03/2020

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