Individual
MICHAEL HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5455 ROBERTS ST, SHAWNEE, KS 66226-3937
(913) 667-1728
Mailing address
5455 ROBERTS ST, SHAWNEE, KS 66226-3937
(913) 667-1728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-105713
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-105713
—
KS
Enumeration date
08/18/2020
Last updated
08/18/2020
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