Healthcare Provider Details
I. General information
NPI: 1174505424
Provider Name (Legal Business Name): HINKLE'S PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
261 LOCUST ST
COLUMBIA PA
17512-1110
US
IV. Provider business mailing address
261 LOCUST ST
COLUMBIA PA
17512-1110
US
V. Phone/Fax
- Phone: 717-684-2551
- Fax: 717-684-6239
- Phone: 717-684-2551
- Fax: 717-684-6239
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOHN
F
HINKLE
III
Title or Position: OWNER
Credential: RPH
Phone: 717-684-2551