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NPI Code Detail

MEDICARE: MICHELLE HAHN RPH

MEDICARE: MICHELLE HAHN 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
1183500000XPharmacist17531IA

General Provider Information

NPI Number : 1932748670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE HAHN RPH
Provider Business Mailing Address
First Line : 831 25TH ST
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50265-3207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1990 GRAND AVE
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50265-4222
Country : US
Telephone Number : 515-223-8506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2019
Last Update Date : 12/28/2019

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