Provider Demographics
NPI:1518576255
Name:HOEKSTRA, RACHEL JOY (PHARMD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:JOY
Last Name:HOEKSTRA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23395 WISE RD
Mailing Address - Street 2:
Mailing Address - City:GOBLES
Mailing Address - State:MI
Mailing Address - Zip Code:49055-9607
Mailing Address - Country:US
Mailing Address - Phone:269-330-8497
Mailing Address - Fax:
Practice Address - Street 1:23395 WISE RD
Practice Address - Street 2:
Practice Address - City:GOBLES
Practice Address - State:MI
Practice Address - Zip Code:49055-9607
Practice Address - Country:US
Practice Address - Phone:269-330-8497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302412641183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist