Provider Demographics
NPI:1992307359
Name:SUH, HANNAH H (RPH)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:H
Last Name:SUH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 ROUTE 113
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1004
Mailing Address - Country:US
Mailing Address - Phone:215-703-0169
Mailing Address - Fax:215-703-0211
Practice Address - Street 1:760 ROUTE 113
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1004
Practice Address - Country:US
Practice Address - Phone:215-703-0169
Practice Address - Fax:215-703-0211
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044206L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist