Provider Demographics
NPI:1588235618
Name:CONNOLLY, HANNAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:CONNOLLY
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 1:1718 FORDHAM BLVD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5808
Mailing Address - Country:US
Mailing Address - Phone:919-942-5125
Mailing Address - Fax:919-933-5797
Practice Address - Street 1:1718 FORDHAM BLVD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5808
Practice Address - Country:US
Practice Address - Phone:919-942-5125
Practice Address - Fax:919-933-5797
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist