Provider Demographics
NPI:1093448169
Name:HAMBLEN, THOMAS ZACHARY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ZACHARY
Last Name:HAMBLEN
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 1:179 W COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:KY
Mailing Address - Zip Code:40380-2227
Mailing Address - Country:US
Mailing Address - Phone:606-663-2663
Mailing Address - Fax:606-663-9794
Practice Address - Street 1:179 W COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:KY
Practice Address - Zip Code:40380-2227
Practice Address - Country:US
Practice Address - Phone:606-663-2663
Practice Address - Fax:606-663-9794
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0221081835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist