Provider Demographics
NPI:1528330040
Name:HAMMOCK, STEVEN CRAIG (PHARMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:CRAIG
Last Name:HAMMOCK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7905 SEMINOLE BLVD
Mailing Address - Street 2:UNIT #3105
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-4858
Mailing Address - Country:US
Mailing Address - Phone:727-729-2579
Mailing Address - Fax:
Practice Address - Street 1:10551 GULF BLVD
Practice Address - Street 2:
Practice Address - City:TREASURE ISLAND
Practice Address - State:FL
Practice Address - Zip Code:33706-4816
Practice Address - Country:US
Practice Address - Phone:727-367-7028
Practice Address - Fax:727-360-3318
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist