Provider Demographics
NPI:1417099292
Name:HAMMECKER PHARMACIES INC.
Entity Type:Organization
Organization Name:HAMMECKER PHARMACIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:FARQUHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-348-8121
Mailing Address - Street 1:6805 MCALPINE STREET
Mailing Address - Street 2:
Mailing Address - City:LYONS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13368-0265
Mailing Address - Country:US
Mailing Address - Phone:348-348-8121
Mailing Address - Fax:315-348-6120
Practice Address - Street 1:6805 MCALPINE STREET
Practice Address - Street 2:
Practice Address - City:LYONS FALLS
Practice Address - State:NY
Practice Address - Zip Code:13368-0265
Practice Address - Country:US
Practice Address - Phone:315-348-8121
Practice Address - Fax:315-348-6120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0195923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00577275Medicaid
NY00577275Medicaid
NY3335507Medicare UPIN