Provider Demographics
NPI:1568140432
Name:SIGMUND, HANNA EDITH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HANNA
Middle Name:EDITH
Last Name:SIGMUND
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 1:308 CAR MOL DR APT 17
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1109
Mailing Address - Country:US
Mailing Address - Phone:210-843-5079
Mailing Address - Fax:
Practice Address - Street 1:4210 N ROAN ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-1130
Practice Address - Country:US
Practice Address - Phone:423-262-0201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47308183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist