Provider Demographics
NPI:1407345549
Name:HANKINS, KATIE EILEEN
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:EILEEN
Last Name:HANKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 JOHN R RICE BLVD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4165
Mailing Address - Country:US
Mailing Address - Phone:615-895-9979
Mailing Address - Fax:615-895-9844
Practice Address - Street 1:125 JOHN R RICE BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4165
Practice Address - Country:US
Practice Address - Phone:615-895-9979
Practice Address - Fax:615-895-9844
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist