Individual
DR. KELLY ELIZABETH HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20 N PINE ST, BALTIMORE, MD 21201-1142
(410) 706-4102
Mailing address
20 N PINE ST, BALTIMORE, MD 21201-1142
(410) 706-4102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20271
MD
Other
Enumeration date
10/13/2011
Last updated
04/13/2012
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