Provider Demographics
NPI:1891933651
Name:HANNA, SAWSAN K (BS PHARMACY)
Entity Type:Individual
Prefix:MRS
First Name:SAWSAN
Middle Name:K
Last Name:HANNA
Suffix:
Gender:F
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8810 TAMPA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3519
Mailing Address - Country:US
Mailing Address - Phone:818-718-1951
Mailing Address - Fax:818-718-0383
Practice Address - Street 1:8810 TAMPA AVE
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3519
Practice Address - Country:US
Practice Address - Phone:818-718-1951
Practice Address - Fax:818-718-0383
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35300183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist