Organization
HOOK-SUPERX LLC
Active
Other names
CVS Pharmacy #08904
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
14575 MUNDY DR, NOBLESVILLE, IN 46060-7224
(401) 765-1500
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562657
NCPDP
—
05
—
200945120A
—
VA
Enumeration date
04/15/2009
Last updated
02/19/2024
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