Individual
DR. HANLON IGNATIUS MAIVELETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-6466
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 828-9991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42048
SC
Other
Enumeration date
10/23/2019
Last updated
11/18/2025
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