Healthcare Provider Details

I. General information

NPI: 1295668697
Provider Name (Legal Business Name): DAVID HAMER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 WICKHAM ST NW
UNIONTOWN OH
44685-8610
US

IV. Provider business mailing address

3900 WICKHAM ST NW
UNIONTOWN OH
44685-8610
US

V. Phone/Fax

Practice location:
  • Phone: 330-716-0169
  • Fax:
Mailing address:
  • Phone: 330-716-0169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03331351
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: