Organization
HOOK-SUPERX LLC
Active
Other names
CVS Pharmacy #10824
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
10809 RANDOLPH ST, CROWN POINT, IN 46307-9406
(219) 663-9075
(219) 662-2486
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(219) 987-7226
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60004220
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298380
—
IN
01
—
1520267
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/21/2006
Last updated
02/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us