# HOOK-SUPERX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS PHARMACY \#06077
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366545055
- **Authorized official:** SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 405 GREEN BLVD, AURORA, IN 47001-1421
- **Practice address phone:** (812) 926-2144
- **Mailing address:** 1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 60004511A | IN | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 02/15/2024