Provider Demographics
NPI:1528571189
Name:HAWKS, BRIANNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:
Last Name:HAWKS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5255 MEMPHIS ST UNIT 1215
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-5254
Mailing Address - Country:US
Mailing Address - Phone:720-256-3536
Mailing Address - Fax:
Practice Address - Street 1:9390 S UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-5037
Practice Address - Country:US
Practice Address - Phone:303-683-1159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO21348183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist