Provider Demographics
NPI:1790289742
Name:HAMBY, STEVEN THOMAS
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:THOMAS
Last Name:HAMBY
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 1:3053 HIGHWAY 150
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1028
Mailing Address - Country:US
Mailing Address - Phone:205-982-0982
Mailing Address - Fax:205-982-1942
Practice Address - Street 1:3053 HIGHWAY 150
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1028
Practice Address - Country:US
Practice Address - Phone:205-982-0982
Practice Address - Fax:205-982-1942
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL140283336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy