Individual
JAY L HAMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1104 W THORNDALE AVE, CHICAGO, IL 60660-3516
(773) 561-6660
(773) 561-6685
Mailing address
1104 W THORNDALE AVE, CHICAGO, IL 60660-3516
(773) 561-6660
(773) 561-6685
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363704718001
—
IL
Enumeration date
11/01/2006
Last updated
07/08/2007
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