Provider Demographics
NPI:1275529281
Name:HAMES, ADERIANE ROSALENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADERIANE
Middle Name:ROSALENE
Last Name:HAMES
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 1:2560 GOMAZ WAY S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-3916
Mailing Address - Country:US
Mailing Address - Phone:727-432-2869
Mailing Address - Fax:727-867-4555
Practice Address - Street 1:2560 GOMAZ WAY S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-3916
Practice Address - Country:US
Practice Address - Phone:727-432-2869
Practice Address - Fax:727-867-4555
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist