Individual
MRS. ELLEN KAY HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
305 TOWERVIEW DR, DURHAM, NC 27708
(919) 385-3784
Mailing address
305 TOWERVIEW DR, DURHAM, NC 27708-9979
(919) 385-3784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508300914
—
NC
Enumeration date
09/20/2011
Last updated
02/19/2019
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