Provider Demographics
NPI:1154451227
Name:HAMMAR, ROBIN JANETTE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:JANETTE
Last Name:HAMMAR
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 1:13290 ARMSTRONG RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH ROCKWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:48179
Mailing Address - Country:US
Mailing Address - Phone:734-789-1882
Mailing Address - Fax:
Practice Address - Street 1:22981 HALL RD
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-1539
Practice Address - Country:US
Practice Address - Phone:734-675-2211
Practice Address - Fax:734-675-3961
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302030492183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302030492OtherPHARMACIST LICENSE NUMBER