Healthcare Provider Details

I. General information

NPI: 1326007121
Provider Name (Legal Business Name): HINKLE'S PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 08/29/2007
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

Practice location:
  • Phone: 717-684-2551
  • Fax: 717-684-6239
Mailing address:
  • Phone: 717-684-2551
  • Fax: 717-684-6239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP411053L
License Number StatePA

VIII. Authorized Official

Name: MR. JOHN FORRY HINKLE III
Title or Position: PRESIDENT
Credential: RPH
Phone: 717-684-2551