Provider Demographics
NPI:1740467265
Name:HALL, BOBBIE HAWLEY (PHARMD, CGP)
Entity type:Individual
Prefix:DR
First Name:BOBBIE
Middle Name:HAWLEY
Last Name:HALL
Suffix:
Gender:F
Credentials:PHARMD, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 GREEN FOREST CIR
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-9102
Mailing Address - Country:US
Mailing Address - Phone:910-987-0779
Mailing Address - Fax:
Practice Address - Street 1:180 GREEN FOREST CIR
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-9102
Practice Address - Country:US
Practice Address - Phone:910-987-0779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC154371835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric