Provider Demographics
NPI:1861496283
Name:HAHN, MARK LEO (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:LEO
Last Name:HAHN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 BRANDYWINE DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-5712
Mailing Address - Country:US
Mailing Address - Phone:724-741-6241
Mailing Address - Fax:
Practice Address - Street 1:1700 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1604
Practice Address - Country:US
Practice Address - Phone:412-521-3900
Practice Address - Fax:412-521-5233
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist