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NPI Code Detail

MEDICARE: MINA HANNA RPH

MEDICARE: MINA 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
1183500000XPharmacist021236KY

General Provider Information

NPI Number : 1538836275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINA HANNA RPH
Provider Business Mailing Address
First Line : 7914 FEGENBUSH LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40228-1712
Country : US
Telephone Number : 502-231-1788
Fax Number :
Provider Business Practice Location Address
First Line : 7914 FEGENBUSH LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40228-1712
Country : US
Telephone Number : 502-231-1788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2021
Last Update Date : 08/29/2021

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Directions to “ MINA HANNA RPH” Practice Location

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