Organization
HOOK-SUPERX LLC
Active
Other names
CVS Pharmacy # 03398
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (EXEC DIR, RX SERVICES)
(401) 770-2751
Entity
Organization
Contact information
Practice address
100 E STATE ROAD 231, CROWN POINT, IN 46307-9789
(401) 765-1500
Mailing address
1 CVS DR, P.O.BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
—
1562102
NCPDP
IN
05
—
200902770A
—
IN
Enumeration date
05/16/2008
Last updated
01/11/2023
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