Karla Jo Eckerle, RPH

Individual provider Active NPI Pharmacist · Loogootee, IN

NPI 1962006148 · NPPES record last updated Nov 28, 2020

Key facts

NPI
1962006148
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
26019666A (IN)
Practice address
402 W Broadway St
Loogootee, IN 47553-1926
Phone
(812) 295-4600
NPI assigned
Nov 28, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26019666AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hook-Superx LLC Past
since Dec 6, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26019666A IN Yes

Addresses

Primary practice location

402 W Broadway St
Loogootee, IN 47553-1926

Mailing address

402 W Broadway St
Loogootee, IN 47553-1926
Phone (812) 295-4600

Other providers in Loogootee, IN

All providers in Loogootee, IN · Pharmacist in Indiana

Sources for this page

Verify at the official NPI Registry.