Provider Information for 1588767925
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HOOK-SUPERX LLC
Other Names:Doing Business As:CVS PHARMACY #06602Organization Subpart: NO
NPI: 1588767925
Last Updated: 2024-02-19
Certification Date: 2024-02-19
Certification Date: 2024-02-19
Details
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NPI | 1588767925 | ||||||||||||||||
Enumeration Date | 2006-09-07 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: SUSAN COLBERT Title: Director, Payer Relations Phone: 4017702751 | ||||||||||||||||
Mailing Address | 1 CVS DR PO BOX 1075 WOONSOCKET, RI 02895-6146 United States Phone: 401-765-1500 | Fax: | ||||||||||||||||
Primary Practice Address | 11588 ALLISONVILLE RD FISHERS, IN 46038-1846 United States Phone: 317-842-7773 | Fax: | ||||||||||||||||
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