Provider Demographics
NPI:1629898564
Name:WEYRAUCH, HANNAH KATHRYN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:KATHRYN
Last Name:WEYRAUCH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 GURTEN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2633
Mailing Address - Country:US
Mailing Address - Phone:607-437-8705
Mailing Address - Fax:
Practice Address - Street 1:3500 DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2226
Practice Address - Country:US
Practice Address - Phone:252-672-8354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist