Organization
HAWK PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY FIKES DPH (OWNER)
(940) 733-0969
Entity
Organization
Contact information
Practice address
120 W PARK AVE, IOWA PARK, TX 76367
(940) 592-4191
(940) 592-5613
Mailing address
120 W PARK AVE, IOWA PARK, TX 76367-2805
(940) 592-4191
(940) 592-5613
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
32019
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149845
—
TX
Enumeration date
09/28/2006
Last updated
08/08/2018
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