Provider Demographics
NPI:1770508806
Name:HOPKINS, DAVID WAYNE JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:WAYNE
Last Name:HOPKINS
Suffix:JR
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 1:21875 ALBIE RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21665-1018
Mailing Address - Country:US
Mailing Address - Phone:410-745-6700
Mailing Address - Fax:
Practice Address - Street 1:204 SOUTH TALBOT ST
Practice Address - Street 2:
Practice Address - City:ST. MICHAELS
Practice Address - State:MD
Practice Address - Zip Code:21663
Practice Address - Country:US
Practice Address - Phone:410-745-6700
Practice Address - Fax:410-745-4016
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist