Provider Demographics
NPI:1144765439
Name:HAMMOND, NEIL R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:R
Last Name:HAMMOND
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 1:1101 GRANTS PASS PKWY
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-2333
Mailing Address - Country:US
Mailing Address - Phone:541-474-7234
Mailing Address - Fax:541-474-7240
Practice Address - Street 1:1101 GRANTS PASS PKWY
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-2333
Practice Address - Country:US
Practice Address - Phone:541-474-7234
Practice Address - Fax:541-474-7240
Is Sole Proprietor?:No
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPI-0011177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist