Cvs Pharmacy #05983
LBN: Arizona Cvs Stores, L.L.C.
Cvs Pharmacy #05983 is an health care organization with primary practice located at 3025 N. Windsong Drive , Prescott Valley AZ 86314. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Arizona Cvs Stores, L.L.C. can be contacted via phone (928) 772-1613, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
3025 N. Windsong Drive
Prescott Valley AZ 86314
Phone: (928) 772-1613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1013142074 |
|---|---|
| LBN Legal business name | Arizona Cvs Stores, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #05983 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2009 |
| Last updated | Aug 23rd, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013142074 | NPPES |
| Other | 0356166 | NCPDP | |
| MEDICAID | 450326 | NCPDP |
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