Provider Demographics
NPI:1316183924
Name:NIXON, ANDREA HOBBS (PHARMD, RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:HOBBS
Last Name:NIXON
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:CRYSTAL
Other - Last Name:HOBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11055 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA STATION
Mailing Address - State:OH
Mailing Address - Zip Code:44028-9692
Mailing Address - Country:US
Mailing Address - Phone:440-781-6637
Mailing Address - Fax:
Practice Address - Street 1:11055 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA STATION
Practice Address - State:OH
Practice Address - Zip Code:44028-9692
Practice Address - Country:US
Practice Address - Phone:440-781-6637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-02
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist