Provider Demographics
NPI:1942663422
Name:HOMMEL, HESTER (RPH)
Entity Type:Individual
Prefix:
First Name:HESTER
Middle Name:
Last Name:HOMMEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5382 DICKENS DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-1796
Mailing Address - Country:US
Mailing Address - Phone:405-550-0986
Mailing Address - Fax:
Practice Address - Street 1:4865 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-1932
Practice Address - Country:US
Practice Address - Phone:405-550-0986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03129354183500000X
OK12019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist