Healthcare Provider Details

I. General information

NPI: 1225597628
Provider Name (Legal Business Name): DAVID ALLEN HOPKINS II DO, PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2019
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 MEDICAL PARK BLVD
BRISTOL TN
37620-7343
US

IV. Provider business mailing address

208 MEDICAL PARK BLVD
BRISTOL TN
37620-7343
US

V. Phone/Fax

Practice location:
  • Phone: 423-989-4050
  • Fax: 423-990-3044
Mailing address:
  • Phone: 423-989-4050
  • Fax: 423-990-3044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0011515
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202217473
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: