Provider Demographics
NPI:1073029005
Name:BELLINGER, HANNAH EILEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:EILEEN
Last Name:BELLINGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CROSSROADS DR SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-2183
Mailing Address - Country:US
Mailing Address - Phone:507-280-9441
Mailing Address - Fax:507-292-7767
Practice Address - Street 1:500 CROSSROADS DR SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-2183
Practice Address - Country:US
Practice Address - Phone:507-280-9441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN122916OtherPHARMACIST LICENSE