Cvs Pharmacy #10824

LBN: Hook-Superx Llc
Cvs Pharmacy #10824 is an health care organization with primary practice located at 10809 Randolph St , Crown Point IN 46307-9406. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Hook-Superx Llc can be contacted via phone (219) 663-9075, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
10809 Randolph St Crown Point IN 46307-9406
Phone: (219) 663-9075
Fax: (219) 662-2486
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 60004220 Indiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1033130356
LBN Legal business name Hook-Superx Llc
DBA Doing business as Cvs Pharmacy #10824
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Feb 19th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033130356 NPPES
Indiana MEDICAID 100298380
Indiana Other 1520267

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