Provider Demographics
NPI:1558746552
Name:NEFF, HANNAH (PHARM D)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:NEFF
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N MAIN ST
Mailing Address - Street 2:UNIT 202
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-1847
Mailing Address - Country:US
Mailing Address - Phone:219-798-0775
Mailing Address - Fax:
Practice Address - Street 1:8043 CHALLIS RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-7446
Practice Address - Country:US
Practice Address - Phone:810-229-4264
Practice Address - Fax:810-224-9486
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist