MEDICARE: DR. LAURA HAMAKER

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	PS59509	FL
2	183500000X	Pharmacist	RPH031560	GA

General Provider Information

NPI Number	:	1316596836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA HAMAKER

Provider Business Mailing Address
First Line	:	282 CEDAR MILL LN
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-5101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	NAVAL HOSPITAL OKINAWA
Second Line	:
City	:	CHATAN
State	:	OKINAWA
Zip	:	9040103
Country	:	JP
Telephone Number	:	98-971-9355
Fax Number	:

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

Provider Enumeration Date	:	09/06/2019
Last Update Date	:	06/13/2024

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