Provider Demographics
NPI:1952821191
Name:ROSENDAHL, HANNAH PREANKA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:PREANKA
Last Name:ROSENDAHL
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 1:4129 MEADOW PKWY APT C
Mailing Address - Street 2:
Mailing Address - City:HERMANTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55811-6412
Mailing Address - Country:US
Mailing Address - Phone:651-245-0821
Mailing Address - Fax:
Practice Address - Street 1:5474 MOUNTAIN IRON DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA
Practice Address - State:MN
Practice Address - Zip Code:55792-3371
Practice Address - Country:US
Practice Address - Phone:218-741-2421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN123251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist