Provider Demographics
NPI:1295019982
Name:DAWKINS, TAMIE PEAK (RPH)
Entity type:Individual
Prefix:MRS
First Name:TAMIE
Middle Name:PEAK
Last Name:DAWKINS
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 1:2698 S HANNON HILL DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-8921
Mailing Address - Country:US
Mailing Address - Phone:850-668-9911
Mailing Address - Fax:
Practice Address - Street 1:2913 MAHAN DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5417
Practice Address - Country:US
Practice Address - Phone:850-656-7484
Practice Address - Fax:850-656-5525
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist