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General NPI Number Information
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NPI Number | 1497842272
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Entity Type | Organization
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Legal Business Name | HOOKER PHARMACY PLLC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 318 W MAIN ST
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City | BOISE CITY
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State | OK
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Zip | 73933-9607
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Country | US
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Telephone | 580-544-3441
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Fax | 405-767-0905
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | BOISE CITY
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State | OK
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Zip | 73933-0097
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Country | US
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Telephone | 580-544-3441
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Fax | 405-767-0905
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Authorized Official
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Title or Position | OWNER/PIC
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Name | KENAN LEROY DENTEN
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Credential | PHARMD
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Telephone | 580-544-3441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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