Provider Demographics
NPI:1164413787
Name:HAWKINS, BRITNEY D'VON (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:D'VON
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E LLANO ESTACADO BLVD
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-3780
Mailing Address - Country:US
Mailing Address - Phone:575-762-3848
Mailing Address - Fax:575-762-3840
Practice Address - Street 1:601 E LLANO ESTACADO BLVD
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-3780
Practice Address - Country:US
Practice Address - Phone:575-762-3848
Practice Address - Fax:575-762-3840
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43064183500000X
NM6881183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist