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Organization
HOOK-SUPERX LLC
Active
Organization
HOOK-SUPERX LLC
Active
Other names
CVS PHARMACY #06814
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-5721
Entity
Organization
Contact information
Practice address
221 S HIGH ST, VERSAILLES, IN 47042-0000
(812) 689-5553
Mailing address
PO BOX 1075, 1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
60004685A
IN
333600000X
Pharmacy
Primary
60004685A
IN
3336C0003X
Community/Retail Pharmacy
60004685A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1524835
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/07/2006
Last updated
02/19/2024
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