Healthcare Provider Details

I. General information

NPI: 1518034347
Provider Name (Legal Business Name): HAMMONDS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405C N APPLEGATE
WINONA MS
38967
US

IV. Provider business mailing address

PO BOX 309 405C N APPLEGATE
WINONA MS
38967
US

V. Phone/Fax

Practice location:
  • Phone: 662-283-8502
  • Fax: 662-283-8876
Mailing address:
  • Phone: 662-283-8802
  • Fax: 662-283-8876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. VIRGINIA P HAMMOND
Title or Position: PHARMACIST
Credential: RPH BS
Phone: 662-283-8802