Provider Demographics
NPI:1750860532
Name:LAMB, HANNAH ROSE (PHARMD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ROSE
Last Name:LAMB
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 1:737 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-2015
Mailing Address - Country:US
Mailing Address - Phone:419-789-3784
Mailing Address - Fax:
Practice Address - Street 1:1816 E 2ND ST
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-2502
Practice Address - Country:US
Practice Address - Phone:419-782-7832
Practice Address - Fax:419-782-3173
Is Sole Proprietor?:No
Enumeration Date:2018-08-12
Last Update Date:2018-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03337599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist