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THERESA HAWKS PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1972854263

Individual Registrant:
 THERESA  HAWKS PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
637 W ROUTE 66  WILLIAMS, AZ 86046-2334 US
Tel: 928-635-5977  Fax: 928-635-5984

Contact information for business:
637 W ROUTE 66  WILLIAMS, AZ 86046-2334 US
Tel: 928-635-5977  Fax: 928-635-5984

Registration Information:
NPI: 1972854263
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AZ16972

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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