Hana Desoff, PHARM.DR.
Individual provider Active NPI Pharmacist · Mims, FL
NPI 1184388951 · NPPES record last updated Dec 26, 2022
Key facts
- NPI
- 1184388951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS40430 (FL)
- Practice address
- 2475 US 1
Mims, FL 32754-3874 - Phone
- (321) 267-1788
- Fax
- (407) 343-8223
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS40430 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current |
Accepting new patients | |
| Walgreen Co. | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
2475 US Highway 1
Mims, FL 32754
Phone (321) 267-1788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS40430 | FL | Yes |
Addresses
Primary practice location
2475 US 1
Mims, FL 32754-3874
Mailing address
2475 US 1
Mims, FL 32754-3874
Phone (321) 267-1788
Other providers in Mims, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.