Provider Demographics
NPI:1366022113
Name:LAIKOS, HANNAN T (RPH)
Entity type:Individual
Prefix:
First Name:HANNAN
Middle Name:T
Last Name:LAIKOS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3979 MEDINA RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2444
Mailing Address - Country:US
Mailing Address - Phone:330-666-3300
Mailing Address - Fax:330-666-6521
Practice Address - Street 1:3979 MEDINA RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-2444
Practice Address - Country:US
Practice Address - Phone:330-666-3300
Practice Address - Fax:330-666-6521
Is Sole Proprietor?:No
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03317097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist