Provider Demographics
NPI:1265034920
Name:HAWKINS, PASCALE M (PHARM D)
Entity Type:Individual
Prefix:
First Name:PASCALE
Middle Name:M
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:PASCALE
Other - Middle Name:M
Other - Last Name:DESPLANQUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:3529 JEFFERSON TOWNSHIP PKWY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-1781
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2892 BROWNS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504
Practice Address - Country:US
Practice Address - Phone:678-971-6368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH025695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist