Provider Demographics
NPI:1649325739
Name:IPOCK, CATHY HAWKINS (RPH)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:HAWKINS
Last Name:IPOCK
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 1:415 BROCKMAN MCCLIMON RD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-6608
Mailing Address - Country:US
Mailing Address - Phone:866-817-0411
Mailing Address - Fax:864-801-0411
Practice Address - Street 1:415 BROCKMAN MCCLIMON RD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-6608
Practice Address - Country:US
Practice Address - Phone:866-817-0411
Practice Address - Fax:864-801-0499
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2024-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist