Provider Demographics
NPI:1376616573
Name:HOSKINS, ROBERT MARTIN (DPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MARTIN
Last Name:HOSKINS
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:MARTIN
Other - Last Name:HOSKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPH
Mailing Address - Street 1:1721 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-4364
Mailing Address - Country:US
Mailing Address - Phone:580-334-8056
Mailing Address - Fax:580-939-2498
Practice Address - Street 1:1721 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-4364
Practice Address - Country:US
Practice Address - Phone:580-334-8056
Practice Address - Fax:580-939-2498
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11743183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist