Organization
HOCKS PHARMACY INC
Active
Other names
Hocks Charleston Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J SIMON (CONTROLLER)
(937) 898-5803
Entity
Organization
Contact information
Practice address
127 S CHILLICOTHE ST, S CHARLESTON, OH 45368-9786
(937) 462-8331
(937) 462-8441
Mailing address
535 S DIXIE DR, VANDALIA, OH 45377-2557
(937) 462-8331
(937) 462-8441
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075666
PK
—
05
—
2330098
—
OH
Enumeration date
10/25/2006
Last updated
09/03/2020
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