Provider Demographics
NPI:1477685758
Name:HAMMOND, GEOFFREY E
Entity Type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:E
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6745 N STATE RT 669 NW
Mailing Address - Street 2:
Mailing Address - City:MCCONNELSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43756
Mailing Address - Country:US
Mailing Address - Phone:740-962-6492
Mailing Address - Fax:
Practice Address - Street 1:8465 STATE RT 339
Practice Address - Street 2:
Practice Address - City:BARLOW
Practice Address - State:OH
Practice Address - Zip Code:45712
Practice Address - Country:US
Practice Address - Phone:740-678-2384
Practice Address - Fax:740-678-8696
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-09316183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist