Healthcare Provider Details

I. General information

NPI: 1316285851
Provider Name (Legal Business Name): PRINCE LEONARD HINSON R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 W NEWBERRY RD STE A5
GAINESVILLE FL
32607-5200
US

IV. Provider business mailing address

4410 W NEWBERRY RD STE A5
GAINESVILLE FL
32607-5200
US

V. Phone/Fax

Practice location:
  • Phone: 352-373-8111
  • Fax: 352-373-8009
Mailing address:
  • Phone: 352-373-8111
  • Fax: 352-373-8009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS17540
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: