Provider Demographics
NPI:1942804992
Name:STONE, HANNAH MICHELE (PHARMD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MICHELE
Last Name:STONE
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 1:1399 STONE LN
Mailing Address - Street 2:
Mailing Address - City:OTTERVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65348-2006
Mailing Address - Country:US
Mailing Address - Phone:660-620-2253
Mailing Address - Fax:
Practice Address - Street 1:3201 SE 7TH CT
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-5207
Practice Address - Country:US
Practice Address - Phone:816-220-2302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019030638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist