Provider Demographics
NPI:1356626816
Name:HAM, ROBERT (PHARM D)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:HAM
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 5TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-1902
Mailing Address - Country:US
Mailing Address - Phone:615-256-4600
Mailing Address - Fax:615-256-1601
Practice Address - Street 1:226 5TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-1902
Practice Address - Country:US
Practice Address - Phone:615-256-4600
Practice Address - Fax:615-256-1601
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00094051835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist