Provider Demographics
NPI:1417629593
Name:HAKAMIUN, KEVIN M (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:M
Last Name:HAKAMIUN
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BOX TREE WAY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-5964
Mailing Address - Country:US
Mailing Address - Phone:843-813-8294
Mailing Address - Fax:
Practice Address - Street 1:7 BOX TREE WAY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5964
Practice Address - Country:US
Practice Address - Phone:843-813-8294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC431081835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist