Provider Demographics
NPI:1932485513
Name:OH, HAN-NA (RPHD)
Entity Type:Individual
Prefix:
First Name:HAN-NA
Middle Name:
Last Name:OH
Suffix:
Gender:F
Credentials:RPHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1456 BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031-2065
Mailing Address - Country:US
Mailing Address - Phone:215-836-4243
Mailing Address - Fax:
Practice Address - Street 1:901 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-1427
Practice Address - Country:US
Practice Address - Phone:215-886-8763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03167700183500000X
COPHA.0021513183500000X
PARP442079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist