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Individual

MS. BEVERLY HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
312 MAIN ST HWY 19, BAKER, LA 70714-3767
(225) 774-1025
(225) 774-1025
Mailing address
312 MAIN ST HWY 19, BAKER, LA 70714-3767
(225) 774-1025
(225) 774-1025

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
15389
MD
183500000X
Pharmacist
Primary
PST.13653
LA
183500000X
Pharmacist
RPH015055
GA

Other

Enumeration date
09/11/2014
Last updated
09/11/2014
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