Provider Demographics
NPI:1225584386
Name:HOCKER, HAL (PHARMD)
Entity Type:Individual
Prefix:
First Name:HAL
Middle Name:
Last Name:HOCKER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 E COLLEGE WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-5516
Mailing Address - Country:US
Mailing Address - Phone:360-424-7958
Mailing Address - Fax:
Practice Address - Street 1:412 E COLLEGE WAY
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-5516
Practice Address - Country:US
Practice Address - Phone:360-424-7958
Practice Address - Fax:360-424-0255
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60666556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA60666556OtherPHARMACY LICENSE