Provider Demographics
NPI:1487724787
Name:WON, HANNA K (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HANNA
Middle Name:K
Last Name:WON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 MONTICELLO CIR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-5517
Mailing Address - Country:US
Mailing Address - Phone:469-226-1810
Mailing Address - Fax:
Practice Address - Street 1:3535 WORTH ST
Practice Address - Street 2:SUITE 170
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2006
Practice Address - Country:US
Practice Address - Phone:214-370-1618
Practice Address - Fax:214-370-1622
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302028000183500000X
TX371501835X0200X, 183500000X
MI83020280001835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835X0200XPharmacy Service ProvidersPharmacistOncology