Organization
HOOKER PHARMACY PLLC
Active
Other names
Boise City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENAN LEROY DENTEN PHARMD (OWNER/PIC)
(580) 544-3441
Entity
Organization
Contact information
Practice address
318 W MAIN ST, BOISE CITY, OK 73933-9607
(580) 544-3441
(405) 767-0905
Mailing address
PO BOX 97, BOISE CITY, OK 73933-0097
(580) 544-3441
(405) 767-0905
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238790A
—
OK
05
—
100238790B
—
OK
01
—
1821718859
NPI FOR PHARMACIST
—
01
—
2074124
PK
—
Enumeration date
10/05/2006
Last updated
02/08/2023
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