Healthcare Provider Details

I. General information

NPI: 1962016337
Provider Name (Legal Business Name): ANDREA LYNNE HOBBS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 09/03/2020
Certification Date: 09/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 HARBOUR VIEW BLVD STE 114
SUFFOLK VA
23435-3657
US

IV. Provider business mailing address

13631 YOKO CT
CHESTER VA
23831-5211
US

V. Phone/Fax

Practice location:
  • Phone: 757-434-1407
  • Fax:
Mailing address:
  • Phone: 804-855-9736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number0202216939
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: