Cvs Pharmacy #10962

LBN: Hook-Superx Llc
Cvs Pharmacy #10962 is an health care organization with primary practice located at 1350 Broadway , Gary IN 46407-1309. 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) 885-6355, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1350 Broadway Gary IN 46407-1309
Phone: (219) 885-6355
Fax: (219) 885-6415
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 60005880 Indiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1750302071
LBN Legal business name Hook-Superx Llc
DBA Doing business as Cvs Pharmacy #10962
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Feb 19th, 2024 - about last year

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 1750302071 NPPES
Indiana MEDICAID 100298760A
Indiana Other 1560033

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