Basic Information
| Provider Information | |||||||||
| NPI: | 1477685758 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAMMOND | ||||||||
| FirstName: | GEOFFREY | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | MR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6745 N STATE RT 669 NW | ||||||||
| Address2: | |||||||||
| City: | MCCONNELSVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7409626492 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8465 STATE RT 339 | ||||||||
| Address2: | |||||||||
| City: | BARLOW | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45712 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7406782384 | ||||||||
| FaxNumber: | 7406788696 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 03-1-09316 | OH | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.