Provider Demographics
NPI:1043773690
Name:HAMM, CHRISTIAN (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:HAMM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 BUENA VISTA AVE APT 1704
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-4873
Mailing Address - Country:US
Mailing Address - Phone:206-618-7491
Mailing Address - Fax:
Practice Address - Street 1:KAISER PERMANENTE MEDICAL CENTER SANTA CLARA
Practice Address - Street 2:DEPT 362 (INPATIENT PHARMACY), 710 LAWRENCE EXPRESSWAY
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051
Practice Address - Country:US
Practice Address - Phone:408-851-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72590183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist