Cvs Pharmacy # 06794
LBN: Cvs Pharmacy Inc
Cvs Pharmacy # 06794 is an health care organization with primary practice located at 2706 Jacksboro Hwy , Ft Worth TX 76114-1945. 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.
Cvs Pharmacy Inc can be contacted via phone (817) 626-8255, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
2706 Jacksboro Hwy
Ft Worth TX 76114-1945
Phone: (817) 626-8255
Fax: (817) 626-1238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Texas | |
| Suppliers / Pharmacy | 333600000X | 24575 | Texas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1063519569 |
|---|---|
| LBN Legal business name | Cvs Pharmacy Inc |
| DBA Doing business as | Cvs Pharmacy # 06794 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 27th, 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 | 1063519569 | NPPES |
| Other | 4507197 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 000460426 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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