Cvs Pharmacy #10019
LBN: Arkansas Cvs Pharmacy L.L.C.
Cvs Pharmacy #10019 is an health care organization with primary practice located at 3908 N State Line Ave , Texarkana AR 71854-1935. 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.
Arkansas Cvs Pharmacy L.L.C. can be contacted via phone (870) 772-0236, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
3908 N State Line Ave
Texarkana AR 71854-1935
Phone: (870) 772-0236
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 | 1659629152 |
|---|---|
| LBN Legal business name | Arkansas Cvs Pharmacy L.L.C. |
| DBA Doing business as | Cvs Pharmacy #10019 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 15th, 2012 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1659629152 | NPPES |
| Other | 0424046 | NCPDP | |
| MEDICAID | 194388407 | NCPDP | |
| Other | AR20686 | NCPDP | |
| Other | 195951716 | NCPDP |
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