Provider Demographics
NPI:1578537783
Name:HOPKINS, DAVID KENT (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:KENT
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6238 DUNCAN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49333-9732
Mailing Address - Country:US
Mailing Address - Phone:616-891-9436
Mailing Address - Fax:
Practice Address - Street 1:9175 CHERRY VALLEY AVE SE
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:MI
Practice Address - Zip Code:49316-9746
Practice Address - Country:US
Practice Address - Phone:616-891-1116
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302022152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist