Provider Demographics
NPI:1639582166
Name:HOSKINS, DANIEL (PHARMD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:HOSKINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:DAN
Other - Middle Name:R
Other - Last Name:HOSKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4804 GRANITE DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73179-2805
Mailing Address - Country:US
Mailing Address - Phone:405-261-6011
Mailing Address - Fax:
Practice Address - Street 1:4804 GRANITE DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73179-2805
Practice Address - Country:US
Practice Address - Phone:405-261-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14449183500000X
FLPS45469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist