Provider Demographics
NPI:1205365095
Name:HAMMOND, AUDREY ANN (RPH)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:ANN
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HEMINGWAY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-2224
Mailing Address - Country:US
Mailing Address - Phone:401-431-9020
Mailing Address - Fax:401-434-2026
Practice Address - Street 1:2 HEMINGWAY DR STE 200
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2224
Practice Address - Country:US
Practice Address - Phone:401-431-9020
Practice Address - Fax:401-434-2026
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI3272183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist