Individual
MR. RAJA ALEXANDER HANANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH, CDCES
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-9561
Mailing address
806 S ANTHONY CT, BLOOMINGTON, IN 47401-8652
(812) 219-5286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016769A
IN
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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