Individual
CHRIS MICHAEL HANNA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, RPH
Contact information
Practice address
26 E RAILROAD AVE, ESTILL, SC 29918-1088
(803) 625-4185
(803) 625-2443
Mailing address
26 E RAILROAD AVE, ESTILL, SC 29918-1088
(803) 625-4185
(803) 625-2443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6617
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4215617
—
SC
01
—
50002223
PHARMACY PERMIT #
SC
01
—
582283523
FED TAX ID OR EMPLOYER ID
SC
01
—
6617
PHARMACY LISCENSE #
SC
05
—
DME725
—
SC
Enumeration date
03/30/2007
Last updated
07/09/2007
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