Individual
NICOLE HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(083) 723-9716
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20330-40
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20330-40
WI
Other
Enumeration date
11/12/2020
Last updated
05/18/2022
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