Individual
ERIKA HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 BERRY RD, BONNE TERRE, MO 63628-1373
(573) 358-0099
(573) 358-0084
Mailing address
235 GERARD ST, STE GENEVIEVE, MO 63670-1713
(312) 547-9845
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
20110305062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164598827
PHARMACY
MO
Enumeration date
06/27/2016
Last updated
06/27/2016
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