Provider Demographics
NPI:1467125799
Name:HOOK RX, LLC
Entity Type:Organization
Organization Name:HOOK RX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:FOREHAND
Authorized Official - Last Name:HOOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-536-7976
Mailing Address - Street 1:400 PARKER AVE N STE 500A
Mailing Address - Street 2:
Mailing Address - City:BROOKLET
Mailing Address - State:GA
Mailing Address - Zip Code:30415-9506
Mailing Address - Country:US
Mailing Address - Phone:912-536-7976
Mailing Address - Fax:
Practice Address - Street 1:400 PARKER AVE N STE 500A
Practice Address - Street 2:
Practice Address - City:BROOKLET
Practice Address - State:GA
Practice Address - Zip Code:30415-9506
Practice Address - Country:US
Practice Address - Phone:912-842-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy