Provider Demographics
NPI:1710236583
Name:HANNA, CHRISTOPHER E (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:E
Last Name:HANNA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3812 LIBERTY HWY STE B
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1344
Mailing Address - Country:US
Mailing Address - Phone:864-231-6071
Mailing Address - Fax:864-231-6073
Practice Address - Street 1:3812 LIBERTY HIGHWAY SUITE B
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621
Practice Address - Country:US
Practice Address - Phone:864-231-6071
Practice Address - Fax:864-231-6073
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist