Provider Demographics
NPI:1275795635
Name:HAMMACK, SAUNDRA LEE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:SAUNDRA
Middle Name:LEE
Last Name:HAMMACK
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 1:770 E CALAVERAS BLVD
Mailing Address - Street 2:KAISER PERMANENTE -- PHARMACY SERVICES
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5491
Mailing Address - Country:US
Mailing Address - Phone:408-945-2035
Mailing Address - Fax:408-945-6910
Practice Address - Street 1:770 E CALAVERAS BLVD
Practice Address - Street 2:KAISER PERMANENTE -- PHARMACY SERVICES
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5491
Practice Address - Country:US
Practice Address - Phone:408-945-2035
Practice Address - Fax:408-945-6910
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45767183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist