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NPI Code Detail

MEDICARE: DR. MELISSA MARIE HAMMILL PHARMD, BCACP

MEDICARE: DR. MELISSA MARIE HAMMILL PHARMD, BCACP
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
1183500000XPharmacist15951040WI
2183500000XPharmacist72768CA
3390200000XStudent in an Organized Health Care Education/Training ProgramWI

General Provider Information

NPI Number : 1558550467
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA MARIE HAMMILL PHARMD, BCACP
Provider Business Mailing Address
First Line : 2622 VARGAS WAY
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90278-1751
Country : US
Telephone Number : 608-751-4812
Fax Number :
Provider Business Practice Location Address
First Line : 901 SILVER SPUR RD
Second Line :
City : ROLLING HILLS ESTATES
State : CA
Zip : 90274-3805
Country : US
Telephone Number : 608-751-4812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 08/19/2015

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