Healthcare Provider Details

I. General information

NPI: 1992021760
Provider Name (Legal Business Name): JOE ARTHUR HOOKER JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2010
Last Update Date: 04/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 HIGHWAY 60 STE 200
MIAMI AZ
85539-8744
US

IV. Provider business mailing address

308 W MISSION DR
CHANDLER AZ
85225-7196
US

V. Phone/Fax

Practice location:
  • Phone: 928-425-8165
  • Fax:
Mailing address:
  • Phone: 480-632-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License NumberS017557
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: