Provider Demographics
NPI:1366859241
Name:HAMM, KRISTYN MURPHY (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:KRISTYN
Middle Name:MURPHY
Last Name:HAMM
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 SHERMAN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2425
Mailing Address - Country:US
Mailing Address - Phone:651-468-0604
Mailing Address - Fax:651-468-0606
Practice Address - Street 1:360 SHERMAN ST STE 100
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2425
Practice Address - Country:US
Practice Address - Phone:651-468-0604
Practice Address - Fax:651-468-0606
Is Sole Proprietor?:No
Enumeration Date:2014-07-12
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN121758183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist