=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164504221
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOPKINS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2006
-----------------------------------------------------
Last Update Date | 06/13/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 627 ALBERT PIKE RD
-----------------------------------------------------
City | HOT SPRINGS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 71913-3805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-624-4491
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 627 ALBERT PIKE RD
-----------------------------------------------------
City | HOT SPRINGS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 71913-3805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-624-4491
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST
-----------------------------------------------------
Name | MR. THOMAS HENRY HOPKINS
-----------------------------------------------------
Credential | P.D.
-----------------------------------------------------
Telephone | 501-624-4491
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | AR03561
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------