Provider Demographics
NPI:1730401175
Name:HANCOCK, ANN STEPHENSON (RPH, PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:STEPHENSON
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 SE US HIGHWAY 441
Mailing Address - Street 2:
Mailing Address - City:BELLEVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:34420-2807
Mailing Address - Country:US
Mailing Address - Phone:352-245-0181
Mailing Address - Fax:352-245-6605
Practice Address - Street 1:10301 SE US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:FL
Practice Address - Zip Code:34420-2807
Practice Address - Country:US
Practice Address - Phone:352-245-0181
Practice Address - Fax:352-245-6605
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30031183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist