Basic Information
| Provider Information | |||||||||
| NPI: | 1235235482 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAMILTON | ||||||||
| FirstName: | PENNYE | ||||||||
| MiddleName: | MUREAN | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RPH. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 104 OLD FARM RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 292235519 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037367344 | ||||||||
| FaxNumber: | 8037512048 | ||||||||
| Practice Location | |||||||||
| Address1: | 4500 STUART STREET | ||||||||
| Address2: | MONCRIEF ARMY COMMUNITY HOSP | ||||||||
| City: | FORT JACKSON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 292075720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037512689 | ||||||||
| FaxNumber: | 8037512048 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 4871 | SC | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.