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General NPI Number Information
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NPI Number | 1477638070
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Entity Type | Organization
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Legal Business Name | HOCKS PHARMACY INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 127 S CHILLICOTHE ST
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City | S CHARLESTON
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State | OH
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Zip | 45368-9786
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Country | US
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Telephone | 937-462-8331
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Fax | 937-462-8441
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Provider Business Mailing Address
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Address Line | 535 S DIXIE DR
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City | VANDALIA
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State | OH
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Zip | 45377-2557
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Country | US
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Telephone | 937-462-8331
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Fax | 937-462-8441
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Authorized Official
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Title or Position | CONTROLLER
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Name | MICHAEL J SIMON
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Credential |
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Telephone | 937-898-5803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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