MEDICARE: REBEKAH MARIE FARAG HANNA PHARMD

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	PS62534	FL

General Provider Information

NPI Number	:	1851067516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH MARIE FARAG HANNA PHARMD

Provider Business Mailing Address
First Line	:	10000 BAY PINES BLVD
Second Line	:
City	:	BAY PINES
State	:	FL
Zip	:	33744-8200
Country	:	US
Telephone Number	:	480-254-9598
Fax Number	:

Provider Business Practice Location Address
First Line	:	10000 BAY PINES BLVD
Second Line	:
City	:	BAY PINES
State	:	FL
Zip	:	33744-8200
Country	:	US
Telephone Number	:	727-398-6661
Fax Number	:

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

Provider Enumeration Date	:	08/20/2021
Last Update Date	:	03/13/2026

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