Provider Demographics
NPI:1831278381
Name:HOPKINS, SUZANNE J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:J
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:311 LA MONTAGNA STRADA
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-5800
Mailing Address - Country:US
Mailing Address - Phone:208-241-6475
Mailing Address - Fax:208-234-9686
Practice Address - Street 1:436 E. BONNEVILLE
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201
Practice Address - Country:US
Practice Address - Phone:208-233-3466
Practice Address - Fax:208-234-9686
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP53651835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric