Provider Demographics
NPI:1447254842
Name:HAMMONS, GEORGE F (RPH)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:F
Last Name:HAMMONS
Suffix:
Gender:M
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:PO BOX 283
Mailing Address - Street 2:
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906-0283
Mailing Address - Country:US
Mailing Address - Phone:606-546-6449
Mailing Address - Fax:606-546-5022
Practice Address - Street 1:511 KNOX ST
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-1330
Practice Address - Country:US
Practice Address - Phone:606-546-3171
Practice Address - Fax:606-546-5022
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY007621OtherKY STATE LICENSE