Provider Demographics
NPI:1447649983
Name:HOPE, GENA ANN (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:GENA
Middle Name:ANN
Last Name:HOPE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 MORRISON BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-5000
Mailing Address - Country:US
Mailing Address - Phone:704-364-9043
Mailing Address - Fax:704-362-2305
Practice Address - Street 1:6701 MORRISON BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-5000
Practice Address - Country:US
Practice Address - Phone:704-364-9043
Practice Address - Fax:704-362-2305
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22642183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist