Organization
HANNAS DISCOUNT PHARMACY
Active
Other names
HANNAS MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MICHAEL HANNA SR. BS RPH (RPH OWNER)
(803) 625-4185
Entity
Organization
Contact information
Practice address
26 EAST RAILROAD AVE, ESTILL, SC 29918-1088
(803) 625-4185
(803) 625-2443
Mailing address
PO BOX 1088, BOX 1088, ESTILL, SC 29918-1088
(803) 625-4185
(803) 625-2443
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
DME725
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
DME725
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4215617
—
SC
01
—
50002223
PHARMACY PERMIT
SC
01
—
6617
RPH LISCENSE #
SC
05
—
DME725
—
SC
Enumeration date
04/06/2007
Last updated
11/28/2011
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