Provider Demographics
NPI:1205232006
Name:HAWKINS, MELANIE (RPH)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:HAWKINS
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 1:81 N COURT SQ
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-2607
Mailing Address - Country:US
Mailing Address - Phone:334-566-0100
Mailing Address - Fax:334-566-0869
Practice Address - Street 1:81 N COURT SQ
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-2607
Practice Address - Country:US
Practice Address - Phone:334-566-0100
Practice Address - Fax:334-566-0869
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11817183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1831286053OtherPHARMACY GROUP