Provider Demographics
NPI:1659629277
Name:HANNON, CLAIRANN R (RPH)
Entity type:Individual
Prefix:MRS
First Name:CLAIRANN
Middle Name:R
Last Name:HANNON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CLAIR
Other - Middle Name:R
Other - Last Name:HANNON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:140 ELLIS LN
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-1429
Mailing Address - Country:US
Mailing Address - Phone:908-892-9124
Mailing Address - Fax:
Practice Address - Street 1:1636 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3197
Practice Address - Country:US
Practice Address - Phone:828-333-9650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30068183500000X
GARPH023521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist