Provider Demographics
NPI:1043794563
Name:BADR, HANNA (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:BADR
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9419 COMMON BROOK RD STE 108
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-7557
Mailing Address - Country:US
Mailing Address - Phone:410-900-5708
Mailing Address - Fax:443-899-8944
Practice Address - Street 1:9419 COMMON BROOK RD STE 108
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-7557
Practice Address - Country:US
Practice Address - Phone:410-900-5708
Practice Address - Fax:443-899-8944
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist