Provider Demographics
NPI:1558967729
Name:HOOKER, COURTNEY LANE (PHARM D)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:LANE
Last Name:HOOKER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 AIRPORT RD STE D
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-8069
Mailing Address - Country:US
Mailing Address - Phone:870-584-6517
Mailing Address - Fax:
Practice Address - Street 1:1629 AIRPORT RD STE D
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-8069
Practice Address - Country:US
Practice Address - Phone:870-584-6517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD11993183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist