Provider Demographics
NPI:1861608911
Name:HOOK'S APOTHECARY, LLC
Entity type:Organization
Organization Name:HOOK'S APOTHECARY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & PHARMACIST-IN-CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:VOLIVA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:812-476-6194
Mailing Address - Street 1:6201 VOGEL RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-4033
Mailing Address - Country:US
Mailing Address - Phone:812-476-6194
Mailing Address - Fax:812-473-3929
Practice Address - Street 1:6201 VOGEL RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-4033
Practice Address - Country:US
Practice Address - Phone:812-476-6194
Practice Address - Fax:812-473-3929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60005480A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty