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General NPI Number Information
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NPI Number | 1730668708
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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 | 08/10/2018
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 649 W HIGH ST
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City | PIQUA
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State | OH
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Zip | 45356-2149
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Country | US
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Telephone | 937-381-6550
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Fax | 937-381-6551
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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 | 937-898-5803
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Fax | 937-898-9340
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0232000017
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License Number State | OH
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