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NPI Code Detail

MEDICARE: MR. PAUL A HAMMERLY R.PH

MEDICARE: MR. PAUL A HAMMERLY R.PH
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
1183500000XPharmacist5303027097MI

General Provider Information

NPI Number : 1770572117
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL A HAMMERLY R.PH
Provider Business Mailing Address
First Line : 2180 QUARRY RD
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-7229
Country : US
Telephone Number : 517-887-3539
Fax Number : 517-887-3549
Provider Business Practice Location Address
First Line : 812 E JOLLY RD
Second Line : SUITE 212
City : LANSING
State : MI
Zip : 48910-6818
Country : US
Telephone Number : 517-887-3539
Fax Number : 517-887-3549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/08/2007

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