Provider Demographics
NPI:1336743707
Name:ADKINS, HANNAH (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:ADKINS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 LONGVISTA LN UNIT 103
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-1157
Mailing Address - Country:US
Mailing Address - Phone:317-405-7594
Mailing Address - Fax:
Practice Address - Street 1:900 N BROAD ST
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-5247
Practice Address - Country:US
Practice Address - Phone:937-878-4493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03438878183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist