Healthcare Provider Details

I. General information

NPI: 1992802441
Provider Name (Legal Business Name): MARIA HAWKINS- WHITE RPH, CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 12/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 KIRKWOOD HWY WILMINGTON VA MEDICAL CENTER
WILMINGTON DE
19805-4917
US

IV. Provider business mailing address

1601 KIRKWOOD HWY WILMINGTON VA MEDICAL CENTER
WILMINGTON DE
19805-4917
US

V. Phone/Fax

Practice location:
  • Phone: 302-994-2511
  • Fax: 302-633-5443
Mailing address:
  • Phone: 302-994-2511
  • Fax: 302-633-5443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP039374L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number0938
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: