IndividualActive
Andrew Hanna
NPI 1255086708 · Pharmacist · Waterford, MI
Provider details
- NPI number
- 1255086708
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5302411798 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4200 Highland Rd
Waterford, MI 48328-2137
Phone: (248) 738-7810
Approximate (ZIP-level) locationGet directions
Mailing address
4200 Highland Rd
Waterford, MI 48328-2137
Registry dates
- Enumerated
- 2022-02-14
- Last updated
- 2022-02-14
- Certified
- 2022-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.