Provider Demographics
NPI:1700862554
Name:HAWKINS INC
Entity Type:Organization
Organization Name:HAWKINS INC
Other - Org Name:HAWKINS DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-735-2381
Mailing Address - Street 1:107 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRUNDIDGE
Mailing Address - State:AL
Mailing Address - Zip Code:36010-1810
Mailing Address - Country:US
Mailing Address - Phone:334-735-2381
Mailing Address - Fax:334-735-2078
Practice Address - Street 1:107 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BRUNDIDGE
Practice Address - State:AL
Practice Address - Zip Code:36010-1810
Practice Address - Country:US
Practice Address - Phone:334-735-2381
Practice Address - Fax:334-735-2078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1111343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0105367OtherNCPDP PROVIDER IDENTIFICATION NUMBER
AL100002654Medicaid
0105367OtherNCPDP PROVIDER IDENTIFICATION NUMBER