Provider Demographics
NPI:1972842854
Name:SUHR, HANNAH (RPH)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:SUHR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SHORESIDE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5314
Mailing Address - Country:US
Mailing Address - Phone:847-778-6339
Mailing Address - Fax:
Practice Address - Street 1:14 SHORESIDE DR
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-5314
Practice Address - Country:US
Practice Address - Phone:847-778-6339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051032546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist