Provider Demographics
NPI:1114631215
Name:PETERS, HANNAH LOUISE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:LOUISE
Last Name:PETERS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9380 CANTERCHASE DR APT 2B
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-5683
Mailing Address - Country:US
Mailing Address - Phone:470-687-9189
Mailing Address - Fax:
Practice Address - Street 1:5901 SPRINGBORO PIKE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45449-3249
Practice Address - Country:US
Practice Address - Phone:937-433-1604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03442800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist