DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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
3333600000XPharmacy60004776AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11515583OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689777393
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOOK-SUPERX LLC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : PO BOX 1075
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 2802 E STATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-4733
Country : US
Telephone Number : 260-471-5521
Fax Number :
Authorized Official
Title or Position : DIRECTOR, PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 09/07/2006
Last Update Date : 02/19/2024

Similar Medicare Providers

1518506047 — MR. KEN A KIMBALL RPH
Practice Location Address:
2802 E STATE BLVD
FORT WAYNE, IN
46805-4733
Practice Phone: 260-471-5521
Practice Fax:
1356944805 — JON KNECHT PHARMD
Practice Location Address:
2802 E STATE BLVD
FORT WAYNE, IN
46805-4733
Practice Phone: 260-471-5521
Practice Fax:
1699379347 — RUAA ALANI
Practice Location Address:
2802 E STATE BLVD
FORT WAYNE, IN
46805-4733
Practice Phone: 260-471-5521
Practice Fax:
1316543168 — TUAN TRAN
Practice Location Address:
2802 E STATE BLVD
FORT WAYNE, IN
46805-4733
Practice Phone: 260-471-5521
Practice Fax:
1699356709 — DESSEYANN G JULIEN PHARMD
Practice Location Address:
2802 E STATE BLVD
FORT WAYNE, IN
46805-4733
Practice Phone: 260-471-5521
Practice Fax:
1063715795 — CARLOS D REYES
Practice Location Address:
2326 CROSSING WAY
WAYNE, NJ
07470-4733
Practice Phone: 201-232-8545
Practice Fax:

Directions to “HOOK-SUPERX LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.