Organization
HOOK-SUPERX LLC
Active
Organization
HOOK-SUPERX LLC
Active
Parent organization
SCHNUCK MARKETS INC
Other names
SCHNUCKS PHARMACY, CVS Pharmacy #18075
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCHNUCK MARKETS INC
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3700 1ST AVE, EVANSVILLE, IN 47710-3324
(812) 464-3952
(812) 422-2927
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
60002426A
IN
333600000X
Pharmacy
60002426A
IN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100308300A
—
IN
01
—
1517929
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/25/2006
Last updated
02/19/2024
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