Provider Demographics
NPI:1689220428
Name:HOPKINS APOTHECARY, PLLC
Entity Type:Organization
Organization Name:HOPKINS APOTHECARY, PLLC
Other - Org Name:HOPKINS APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM, D
Authorized Official - Phone:731-234-0089
Mailing Address - Street 1:246 HIGHWAY 641 N
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:TN
Mailing Address - Zip Code:38320-1330
Mailing Address - Country:US
Mailing Address - Phone:731-234-0089
Mailing Address - Fax:
Practice Address - Street 1:246 HIGHWAY 641 N
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:TN
Practice Address - Zip Code:38320-1330
Practice Address - Country:US
Practice Address - Phone:731-234-0089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-16
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ051891Medicaid