Provider Demographics
NPI:1114691573
Name:HAMMER, ANGELA VANDERLINDEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:VANDERLINDEN
Last Name:HAMMER
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 1:1109 KATHRYN RYALS RD
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-2608
Mailing Address - Country:US
Mailing Address - Phone:478-321-2710
Mailing Address - Fax:
Practice Address - Street 1:220 TOM HILL SR BLVD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-1815
Practice Address - Country:US
Practice Address - Phone:478-474-7597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH033147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist