Cvs Pharmacy #11379
LBN: Cvs Pharmacy, Inc.
Cvs Pharmacy #11379 is an health care organization with primary practice located at 8484 Central Mall Dr , Port Arthur TX 77642-8001. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Cvs Pharmacy, Inc. can be contacted via phone (409) 722-3392, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
8484 Central Mall Dr
Port Arthur TX 77642-8001
Phone: (409) 722-3392
Fax: (409) 722-2038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 24441 | Texas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1679519037 |
|---|---|
| LBN Legal business name | Cvs Pharmacy, Inc. |
| DBA Doing business as | Cvs Pharmacy #11379 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Apr 1st, 2019 - about 5 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 | 1679519037 | NPPES |
| Texas | MEDICAID | 145601 | |
| Texas | Other | 2098846 | |
| Texas | MEDICAID | 145624 |
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