Provider Demographics
NPI:1295872356
Name:HOKE, WALTER F (RPH)
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:F
Last Name:HOKE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1500 UNIVERSITY DR E
Mailing Address - Street 2:#100
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-2600
Mailing Address - Country:US
Mailing Address - Phone:979-846-1100
Mailing Address - Fax:979-260-9390
Practice Address - Street 1:3370 SOUTH TEXAS AVE
Practice Address - Street 2:#B
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802
Practice Address - Country:US
Practice Address - Phone:979-595-1757
Practice Address - Fax:979-595-1740
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2010-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX17032183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1649265646OtherCLINIC PHARMACY NPI
TX1544678-01Medicaid
TX45-1942Medicare ID - Type UnspecifiedFQHC