Organization
HOOK-SUPERX LLC
Active
Other names
CVS PHARMACY #06674
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (PHCY ENROLLMENTS REP)
(401) 770-2751
Entity
Organization
Contact information
Practice address
505 W MAIN ST, DELPHI, IN 46923-1441
(765) 564-4117
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
60004779A
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509213
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/07/2006
Last updated
02/19/2024
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