Healthcare Provider Details
I. General information
NPI: 1194023002
Provider Name (Legal Business Name): ERICA L HOBBS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/02/2011
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
119 FORKS OF THE RIVER PKWY
SEVIERVILLE TN
37862-3435
US
IV. Provider business mailing address
119 FORKS OF THE RIVER PKWY
SEVIERVILLE TN
37862-3435
US
V. Phone/Fax
- Phone: 865-908-8755
- Fax: 865-908-8771
- Phone: 865-908-8755
- Fax: 865-908-8771
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | SC12795 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 37621 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: