Provider Demographics
NPI:1760835185
Name:HAMRA, CHANA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CHANA
Middle Name:
Last Name:HAMRA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 OCEAN PKWY
Mailing Address - Street 2:APT C7
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3060
Mailing Address - Country:US
Mailing Address - Phone:347-524-4129
Mailing Address - Fax:
Practice Address - Street 1:1850 OCEAN PKWY
Practice Address - Street 2:APT C7
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3060
Practice Address - Country:US
Practice Address - Phone:347-524-4129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061728183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist