Provider Demographics
NPI:1174302020
Name:DUPREY, HANNAH MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:DUPREY
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:W6395 SONNY DR APT 5
Mailing Address - Street 2:
Mailing Address - City:MENASHA
Mailing Address - State:WI
Mailing Address - Zip Code:54952-9023
Mailing Address - Country:US
Mailing Address - Phone:920-475-6090
Mailing Address - Fax:
Practice Address - Street 1:420 E NORTHLAND AVE STE H
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-2159
Practice Address - Country:US
Practice Address - Phone:920-840-6033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI21440-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist