Provider Demographics
NPI:1770194672
Name:HOBBS, MONICA V (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:V
Last Name:HOBBS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:V
Other - Last Name:GRZELAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:904 W BUSINESS US HIGHWAY 60
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MO
Mailing Address - Zip Code:63841-2701
Mailing Address - Country:US
Mailing Address - Phone:573-624-7452
Mailing Address - Fax:
Practice Address - Street 1:904 W BUSINESS US HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MO
Practice Address - Zip Code:63841-2701
Practice Address - Country:US
Practice Address - Phone:573-624-7452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016030196183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist