Healthcare Provider Details

I. General information

NPI: 1457284952
Provider Name (Legal Business Name): DR. ZACH HOPKINS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 VASSAR RD
MOUNT LAUREL NJ
08054-5236
US

IV. Provider business mailing address

19 VASSAR RD
MOUNT LAUREL NJ
08054-5236
US

V. Phone/Fax

Practice location:
  • Phone: 609-744-8462
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03233000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: