Provider Demographics
NPI:1730595687
Name:HAWKINS, SYLVESTER DEVELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:SYLVESTER
Middle Name:DEVELLE
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1469 SMITHFIELD FOREST LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:AL
Mailing Address - Zip Code:35127-3541
Mailing Address - Country:US
Mailing Address - Phone:281-896-1206
Mailing Address - Fax:
Practice Address - Street 1:2185 REEVES ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2349
Practice Address - Country:US
Practice Address - Phone:334-794-0623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist