Provider Demographics
NPI:1518043934
Name:HOECKH, THERESA (RPH)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:HOECKH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:
Other - Last Name:PARROTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:188 SUMMER STREET
Mailing Address - Street 2:ATTN: PHARMACY
Mailing Address - City:DOVER-FOXCROFT
Mailing Address - State:ME
Mailing Address - Zip Code:04426
Mailing Address - Country:US
Mailing Address - Phone:207-447-4975
Mailing Address - Fax:
Practice Address - Street 1:188 SUMMER ST
Practice Address - Street 2:ATTN: PHARMACY
Practice Address - City:DOVER-FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426
Practice Address - Country:US
Practice Address - Phone:207-447-4975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR45287183500000X
MA23108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist