Provider Demographics
NPI:1518097351
Name:HOOVER, BARBARA L (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:L
Last Name:HOOVER
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4136 VARDON CT
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-4500
Mailing Address - Country:US
Mailing Address - Phone:303-519-3192
Mailing Address - Fax:
Practice Address - Street 1:4136 VARDON CT
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-4500
Practice Address - Country:US
Practice Address - Phone:303-519-3192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR57111835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
016678OtherKAISER-COMMERCIAL NUMBER