Provider Demographics
NPI:1518520717
Name:DR. HANK, LLC
Entity Type:Organization
Organization Name:DR. HANK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNKLAU
Authorized Official - Suffix:IV
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:615-586-5378
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33595-0033
Mailing Address - Country:US
Mailing Address - Phone:888-588-8094
Mailing Address - Fax:615-469-4259
Practice Address - Street 1:300 20TH AVE N STE 105
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2162
Practice Address - Country:US
Practice Address - Phone:888-588-8094
Practice Address - Fax:615-469-4259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-15
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy