Provider Demographics
NPI:1083353387
Name:BECKER, HANNAH MARIE (BS, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:MARIE
Last Name:BECKER
Suffix:
Gender:F
Credentials:BS, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 ALLEGHENY ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY SHORE
Mailing Address - State:PA
Mailing Address - Zip Code:17740
Mailing Address - Country:US
Mailing Address - Phone:570-398-9861
Mailing Address - Fax:570-389-9867
Practice Address - Street 1:1321 ALLEGHENY ST
Practice Address - Street 2:
Practice Address - City:JERSEY SHORE
Practice Address - State:PA
Practice Address - Zip Code:17740
Practice Address - Country:US
Practice Address - Phone:570-398-9861
Practice Address - Fax:570-389-9867
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456343183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist