Theresa Hawks, PHARMD
Individual provider Active NPI Pharmacist · Williams, AZ
NPI 1972854263 · NPPES record last updated Sep 26, 2012
Key facts
- NPI
- 1972854263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16972 (AZ)
- Practice address
- 637 W Route 66
Williams, AZ 86046-2334 - Phone
- (928) 635-5977
- Fax
- (928) 635-5984
- NPI assigned
- Sep 26, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16972 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16972 | AZ | Yes |
Addresses
Primary practice location
637 W Route 66
Williams, AZ 86046-2334
Mailing address
637 W Route 66
Williams, AZ 86046-2334
Phone (928) 635-5977
Other providers in Williams, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.