Provider Demographics
NPI:1093321465
Name:ERICHSON, HANNAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:ERICHSON
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 1:8798 KNOYLE RD
Mailing Address - Street 2:
Mailing Address - City:WATTSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16442-9308
Mailing Address - Country:US
Mailing Address - Phone:814-490-7835
Mailing Address - Fax:
Practice Address - Street 1:5430 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-2602
Practice Address - Country:US
Practice Address - Phone:814-868-4624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP455035183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist