Cvs Pharmacy #05994

LBN: Cvs Pharmacy Inc
Cvs Pharmacy #05994 is an health care organization with primary practice located at 1202 N Riverside Dr , Espanola NM 87532-2976. 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 (505) 367-3594, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
1202 N Riverside Dr Espanola NM 87532-2976
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH00003410 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1851657464
LBN Legal business name Cvs Pharmacy Inc
DBA Doing business as Cvs Pharmacy #05994
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2012
Last updated Oct 31st, 2012 - about 13 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 1851657464 NPPES
Other 3212331 NCPDP
MEDICAID 47737727 NCPDP
Other 26730031 NCPDP

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