NPI 1043700933

Hooks Diabetes & Medicine Clinic

Organisation Non-Pharmacy Dispensing Site Tupelo, MS

Practice location

Address: 2610 Traceland Drive STE a, Tupelo, MS 38801
Phone: (888) 590-0808
Fax: (866) 740-4689
Mailing address: 200 Rittenhouse Circle East Building STE 5, Bristol, PA 19007

Authorised official

Name: Mackenzie Hahn
Title: Ncpdp Coordinator
Phone: (888) 590-0808

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence R867568 (MS)

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Registry record

NPI: 1043700933
Entity type: Organization
NPI issued: 16 May 2018
Record last updated: 16 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.