Provider Demographics
NPI:1912120205
Name:HOPKINS, BRAD L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:L
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:589 WESTPORT RD
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:TN
Mailing Address - Zip Code:38341-3931
Mailing Address - Country:US
Mailing Address - Phone:731-847-4013
Mailing Address - Fax:731-847-4016
Practice Address - Street 1:246 HIGHWAY 641 N
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:TN
Practice Address - Zip Code:38320-1330
Practice Address - Country:US
Practice Address - Phone:731-213-2452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN107691835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric