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NPI Code Detail

MEDICARE: MEGAN DANIELLE HAMAKER PHARM.D.

MEDICARE: MEGAN DANIELLE HAMAKER PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist3764WY

General Provider Information

NPI Number : 1154819142
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN DANIELLE HAMAKER PHARM.D.
Provider Business Mailing Address
First Line : 4005 E GRAND AVE
Second Line :
City : LARAMIE
State : WY
Zip : 82070-5161
Country : US
Telephone Number : 307-257-0277
Fax Number : 307-742-0787
Provider Business Practice Location Address
First Line : 4005 E GRAND AVE
Second Line :
City : LARAMIE
State : WY
Zip : 82070-5161
Country : US
Telephone Number : 307-257-0277
Fax Number : 307-742-0787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 11/21/2019

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