Cvs Pharmacy 07675

LBN: Cvs Pharmacy Inc
Cvs Pharmacy 07675 is an health care organization with primary practice located at 105 Harris Ave , Red Oak TX 75154-4216. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Cvs Pharmacy Inc can be contacted via phone (972) 617-0034, or through Mauricio, Cristiana via phone (401) 770-2937.

Contact Information

Primary practice address
105 Harris Ave Red Oak TX 75154-4216
Phone: (972) 617-0034
Fax: (972) 576-4858
Website:
Map and Directions
Authorized official contact:
Name: Mauricio, Cristiana
Phone: (401) 770-2937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 24917 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1619071412
LBN Legal business name Cvs Pharmacy Inc
DBA Doing business as Cvs Pharmacy 07675
Authorized official Mauricio, Cristiana
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Mar 9th, 2015 - about 10 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 1619071412 NPPES
Texas MEDICAID 000463112
Texas Other 4580949

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