Individual
STACEY DENEISE HAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 NORTH HIGHWAY 27, WHITLEY CITY, KY 42653
(606) 376-3307
(606) 376-9269
Mailing address
500 NORTH HWY 27, WHITLEY CITY, KY 42653
(606) 376-3307
(606) 376-9269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011815
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011815
KY LICENSE
KY
Enumeration date
03/11/2010
Last updated
03/11/2010
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