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Organization
HOOK-SUPERX LLC
Active
Organization
HOOK-SUPERX LLC
Active
Other names
CVS PHARMACY #02311
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2215 SHELBY ST, INDIANAPOLIS, IN 46203-4260
(317) 780-3270
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
60005405A
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
09/12/2006
Last updated
12/12/2023
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