Organization
HOOVER DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE HOOVER (PHARMACIST IN CHARGE)
(918) 967-8321
Entity
Organization
Contact information
Practice address
107 W MAIN ST, STIGLER, OK 74462-2325
(918) 967-8321
(918) 967-4469
Mailing address
107 W MAIN ST, STIGLER, OK 74462-2325
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
581801
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3709221
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
90003911021
—
OK
Enumeration date
02/21/2007
Last updated
09/12/2007
Update your record
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