MEDICARE: DR. JEFFREY THOMAS HAMRICK PHARM.D., CDE

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	3904	WV

General Provider Information

NPI Number	:	1275527541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY THOMAS HAMRICK PHARM.D., CDE

Provider Business Mailing Address
First Line	:	134 SCOTT ACRES
Second Line	:
City	:	SCOTT DEPOT
State	:	WV
Zip	:	25560-9707
Country	:	US
Telephone Number	:	304-526-1220
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 1ST AVE
Second Line	:	ST. MARYS MEDICAL CENTER
City	:	HUNTINGTON
State	:	WV
Zip	:	25702-1241
Country	:	US
Telephone Number	:	304-526-1220
Fax Number	:	304-526-1526

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

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	07/08/2007

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