Cvs Pharmacy # 10779

LBN: Arkansas Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 10779 is an health care organization with primary practice located at 1122 S. University Ave , Little Rock AR 72204. 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 (501) 660-4470, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
1122 S. University Ave Little Rock AR 72204
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Arkansas
Suppliers / Pharmacy 333600000X Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X Arkansas

Profile Details

NPI number 1962852954
LBN Legal business name Arkansas Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 10779
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2016
Last updated Nov 22nd, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962852954 NPPES
Arkansas Other 0425670 NCPDP
Arkansas MEDICAID 215807407 NCPDP
Arkansas Other 216638716 NCPDP

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