Provider Demographics
NPI:1073101440
Name:FOSTER-HAMMONDS, TIFFANY ALEXANDRIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:ALEXANDRIA
Last Name:FOSTER-HAMMONDS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39902 HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-7804
Mailing Address - Country:US
Mailing Address - Phone:863-419-2721
Mailing Address - Fax:
Practice Address - Street 1:39902 HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-7804
Practice Address - Country:US
Practice Address - Phone:863-419-2721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-01
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS568151835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist