Provider Demographics
NPI:1467671636
Name:HAMMOND, LISA MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:HAMMOND
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 1:114 LATIGO CT
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-4821
Mailing Address - Country:US
Mailing Address - Phone:540-536-8289
Mailing Address - Fax:540-536-1866
Practice Address - Street 1:1840 AMHERST ST
Practice Address - Street 2:ATTN PHARMACY DEPARTMENT
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2808
Practice Address - Country:US
Practice Address - Phone:540-536-8289
Practice Address - Fax:540-536-1866
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022051381835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy