MEDICARE: DR. BENJAMIN SETH HAMMONDS 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
1	183500000X	Pharmacist	29332	TN
2	183500000X	Pharmacist	RPH023709	GA

General Provider Information

NPI Number	:	1811140379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN SETH HAMMONDS PHARM.D.

Provider Business Mailing Address
First Line	:	1339 WOODLAND COVE PL NE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-5851
Country	:	US
Telephone Number	:	423-479-6284
Fax Number	:

Provider Business Practice Location Address
First Line	:	1339 WOODLAND COVE PL NE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-5851
Country	:	US
Telephone Number	:	423-479-6284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	10/28/2008

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