Organization
HANNAS DISCOUNT PHARMACY
Active
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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