Provider Demographics
NPI:1932458981
Name:HOKE HEALTHCARE LLC
Entity Type:Organization
Organization Name:HOKE HEALTHCARE LLC
Other - Org Name:HOKE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-433-3608
Mailing Address - Street 1:300 MEDICAL PAVILION DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-9137
Mailing Address - Country:US
Mailing Address - Phone:910-904-8700
Mailing Address - Fax:910-615-9700
Practice Address - Street 1:300 MEDICAL PAVILION DR
Practice Address - Street 2:SUITE 100
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-9137
Practice Address - Country:US
Practice Address - Phone:910-904-8700
Practice Address - Fax:910-615-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NC113083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3460374OtherNCPDP PROVIDER IDENTIFICATION NUMBER