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NPI Code Detail

MEDICARE: HOOK-SUPERX LLC

MEDICARE: HOOK-SUPERX LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12024454OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518989235
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOOK-SUPERX LLC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : MAIL CODE 1090
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 4850 E SOUTHPORT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-3321
Country : US
Telephone Number : 317-787-6285
Fax Number : 317-829-2752
Authorized Official
Title or Position : SR. DIRECTOR, PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 07/24/2006
Last Update Date : 08/18/2016

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Directions to “HOOK-SUPERX LLC ” Practice Location

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