MEDICARE: BROOKE M HAMMILL

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	183700000X	Pharmacy Technician	09213052	OH

General Provider Information

NPI Number	:	1437897691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE M HAMMILL

Provider Business Mailing Address
First Line	:	3415 CLARK AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1135
Country	:	US
Telephone Number	:	216-651-0212
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 CLARK AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1135
Country	:	US
Telephone Number	:	216-651-0212
Fax Number	:

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

Provider Enumeration Date	:	05/26/2022
Last Update Date	:	05/26/2022

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Directions to “ BROOKE M HAMMILL ” Practice Location

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