Provider Demographics
NPI:1891133328
Name:HAMILTON, NATHAN JAMES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:JAMES
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 FRASURE BR
Mailing Address - Street 2:
Mailing Address - City:GRETHEL
Mailing Address - State:KY
Mailing Address - Zip Code:41631-8906
Mailing Address - Country:US
Mailing Address - Phone:859-327-4331
Mailing Address - Fax:
Practice Address - Street 1:1125 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-2371
Practice Address - Country:US
Practice Address - Phone:812-284-4524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016124183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist