Provider Demographics
NPI:1972649036
Name:HOSKINS, BEVERLY FAYE (RPH)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:FAYE
Last Name:HOSKINS
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 1:210 COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:HESSTON
Mailing Address - State:KS
Mailing Address - Zip Code:67062-8910
Mailing Address - Country:US
Mailing Address - Phone:620-327-4560
Mailing Address - Fax:620-327-2500
Practice Address - Street 1:101 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HESSTON
Practice Address - State:KS
Practice Address - Zip Code:67062-8940
Practice Address - Country:US
Practice Address - Phone:620-327-2211
Practice Address - Fax:620-327-2500
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS-9593183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist