Provider Demographics
NPI:1922393701
Name:HOPKINS, REBECCA C (RPH)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:C
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9885 WICKER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-9413
Mailing Address - Country:US
Mailing Address - Phone:219-365-8619
Mailing Address - Fax:219-365-8609
Practice Address - Street 1:9885 WICKER AVE
Practice Address - Street 2:
Practice Address - City:SAINT JOHN
Practice Address - State:IN
Practice Address - Zip Code:46373-9413
Practice Address - Country:US
Practice Address - Phone:219-365-8619
Practice Address - Fax:219-365-8609
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26014925A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist