Provider Demographics
NPI:1508210840
Name:HAMMOND, JOHNNIE JO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHNNIE
Middle Name:JO
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JOHNNIE
Other - Middle Name:ADAMS
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3860 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-4911
Mailing Address - Country:US
Mailing Address - Phone:239-560-4122
Mailing Address - Fax:
Practice Address - Street 1:3860 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-4911
Practice Address - Country:US
Practice Address - Phone:239-560-4122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-22
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS20184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist