Provider Demographics
NPI:1053553230
Name:HAMONS, NICOLE LOUISE (RPH, PHARMD)
Entity type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:LOUISE
Last Name:HAMONS
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:HAMONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3000 ARLINGTON AVE
Mailing Address - Street 2:MS 1220
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2595
Mailing Address - Country:US
Mailing Address - Phone:419-383-3355
Mailing Address - Fax:419-383-3369
Practice Address - Street 1:3125 TRANSVERSE DR
Practice Address - Street 2:RM 1341, SUITE M
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-8008
Practice Address - Country:US
Practice Address - Phone:419-383-3355
Practice Address - Fax:419-383-3369
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist