MR. Gary Mark Hannemann, RPH

NPI #1730407248 in Waco, Texas

Provider Information

NPI Number: 1730407248
Entity Type: Individual
Name: MR. Gary Mark Hannemann, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 7, 2010
Last Updated: May 7, 2010

Practice Location

Address: 9100 WOODWAY DR
City: Waco
State: Texas
ZIP Code: 76712-3371
Phone: (254) 751-0912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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