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NPI Code Detail

MEDICARE: CHRISTINE HANNA SENIOR CPHT

MEDICARE: CHRISTINE HANNA SENIOR CPHT
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
1183700000XPharmacy Technician5303010668MI

General Provider Information

NPI Number : 1679105712
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE HANNA SENIOR CPHT
Provider Business Mailing Address
First Line : 1029 S M 37
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-8508
Country : US
Telephone Number : 231-943-3147
Fax Number : 231-943-3462
Provider Business Practice Location Address
First Line : 1029 S M 37
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-8508
Country : US
Telephone Number : 231-943-3147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2020
Last Update Date : 02/06/2020

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Directions to “ CHRISTINE HANNA SENIOR CPHT” Practice Location

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