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Hook-Superx LLC

Pharmacy in Fort Wayne, IN. Organization (NPI-2).

NPI number1245330554
StatusActive
Last updated in NPPESAug 24, 2016

Details

NPI
1245330554
Entity type
Organization (NPI-2)
Legal business name
Hook-Superx LLC
Organization subpart
No
Enumeration date
Sep 25, 2006
Last updated
Aug 24, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Yes · DME SUPPLIER - PHARMACY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Cvs Pharmacy #17294 (Doing Business As)

Practice location

3801 Coldwater Rd
Fort Wayne, IN 46805-1101

Phone 260-470-6361 · Fax 260-470-6371

Mailing address

1 Cvs Dr
Mail Code 1090
Woonsocket, RI 02895-6146

Phone 401-765-1500

Authorized official

Susan Colbert
Sr. Director, Payer Relations
4017702751

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacy providers in Fort Wayne, IN

All 34 Pharmacy providers in Fort Wayne · All 11,302 providers in Fort Wayne

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