Provider Demographics
NPI:1881918977
Name:HAHN, RICHARD NICHOLAS (RPH)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:NICHOLAS
Last Name:HAHN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 E ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152-1205
Mailing Address - Country:US
Mailing Address - Phone:315-685-3358
Mailing Address - Fax:
Practice Address - Street 1:29 E ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-1205
Practice Address - Country:US
Practice Address - Phone:315-685-3358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY26480183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist