Provider Demographics
NPI:1326007121
Name:HINKLE'S PHARMACY INC
Entity Type:Organization
Organization Name:HINKLE'S PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FORRY
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:III
Authorized Official - Credentials:RPH
Authorized Official - Phone:717-684-2551
Mailing Address - Street 1:261 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-1110
Mailing Address - Country:US
Mailing Address - Phone:717-684-2551
Mailing Address - Fax:717-684-6239
Practice Address - Street 1:261 LOCUST ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-1110
Practice Address - Country:US
Practice Address - Phone:717-684-2551
Practice Address - Fax:717-684-6239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
PAPP411053L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0184350001Medicare ID - Type Unspecified