Provider Demographics
NPI:1588338321
Name:HANN, JAMES RICHARD (PHARMD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:HANN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19369 US HIGHWAY 19 N APT 416
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3317
Mailing Address - Country:US
Mailing Address - Phone:901-651-8780
Mailing Address - Fax:
Practice Address - Street 1:36301 E LAKE RD
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-3200
Practice Address - Country:US
Practice Address - Phone:727-785-8837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS62776183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist