Provider Demographics
NPI:1073709028
Name:HOPKINS, SHIRLEY M (RPH)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:M
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 NEILSON RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-7838
Mailing Address - Country:US
Mailing Address - Phone:775-849-2684
Mailing Address - Fax:
Practice Address - Street 1:12645 S VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4803
Practice Address - Country:US
Practice Address - Phone:775-853-9887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-23
Last Update Date:2007-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10274183500000X
VA0202-005703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist