Provider Demographics
NPI:1447350061
Name:HAMANN, JOHN P (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:HAMANN
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 1:2100 PARK CENTRAL BLVD N STE 300
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-2219
Mailing Address - Country:US
Mailing Address - Phone:954-615-1840
Mailing Address - Fax:954-615-1840
Practice Address - Street 1:2100 PARK CENTRAL BLVD N STE 300
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-2219
Practice Address - Country:US
Practice Address - Phone:954-615-1840
Practice Address - Fax:954-615-1840
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSTATE LICENSEOtherPS30582