Provider Demographics
NPI:1427257948
Name:HOPKINS, PHILIP HENRI JR (DR OF PHARMACY)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:HENRI
Last Name:HOPKINS
Suffix:JR
Gender:M
Credentials:DR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10349 BAKER BOY DR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-5890
Mailing Address - Country:US
Mailing Address - Phone:423-504-6900
Mailing Address - Fax:
Practice Address - Street 1:10349 BAKER BOY DR
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-5890
Practice Address - Country:US
Practice Address - Phone:423-504-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist