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NPI Code Detail

MEDICARE: DR. ANDREA DANIELLE HAWKINS PHARMD

MEDICARE: DR. ANDREA DANIELLE HAWKINS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist17672NV
2183500000XPharmacist03-1-29414OH

General Provider Information

NPI Number : 1033494414
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA DANIELLE HAWKINS PHARMD
Provider Business Mailing Address
First Line : 4740 CEDAR RANCH CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2574
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1445 W CRAIG RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0211
Country : US
Telephone Number : 702-649-3113
Fax Number : 702-649-3780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2011
Last Update Date : 10/17/2011

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