Provider Demographics
NPI:1528340155
Name:HOPKINS, GAIL MARIE (RPH)
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:MARIE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAFEWAY #2954
Mailing Address - Street 2:6519 MAIN ST
Mailing Address - City:BONNERS FERRY
Mailing Address - State:ID
Mailing Address - Zip Code:83805
Mailing Address - Country:US
Mailing Address - Phone:208-267-2301
Mailing Address - Fax:208-267-5942
Practice Address - Street 1:SAFEWAY #2954
Practice Address - Street 2:6519 MAIN ST
Practice Address - City:BONNERS FERRY
Practice Address - State:ID
Practice Address - Zip Code:83805
Practice Address - Country:US
Practice Address - Phone:208-267-2301
Practice Address - Fax:208-267-5942
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0003176183500000X
WAPH60409610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist