Provider Demographics
NPI:1487672267
Name:HARDWICK, JOSEPH H (PHARMD, DPH)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:H
Last Name:HARDWICK
Suffix:
Gender:M
Credentials:PHARMD, DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3706 S 201ST EAST AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-1738
Mailing Address - Country:US
Mailing Address - Phone:918-764-7243
Mailing Address - Fax:918-764-7296
Practice Address - Street 1:9322 E 41ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-3721
Practice Address - Country:US
Practice Address - Phone:918-764-7244
Practice Address - Fax:918-764-7296
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist