Provider Demographics
NPI:1902319981
Name:HANSA PHARMACY LLC
Entity Type:Organization
Organization Name:HANSA PHARMACY LLC
Other - Org Name:ALPHA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIRANJIVI
Authorized Official - Middle Name:B
Authorized Official - Last Name:JANNU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-673-0044
Mailing Address - Street 1:1111 SE FEDERAL HWY STE 122
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3802
Mailing Address - Country:US
Mailing Address - Phone:772-617-6784
Mailing Address - Fax:772-617-6782
Practice Address - Street 1:1111 SE FEDERAL HWY STE 122
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3802
Practice Address - Country:US
Practice Address - Phone:772-617-7684
Practice Address - Fax:772-617-6782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy