Cvs Pharmacy #17619

LBN: Garfield Beach Cvs Llc
Cvs Pharmacy #17619 is an health care organization with primary practice located at 11990 Los Osos Valley Rd , San Luis Obispo CA 93405-6861. 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. Garfield Beach Cvs Llc can be contacted via phone (805) 585-9903, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
11990 Los Osos Valley Rd San Luis Obispo CA 93405-6861
Phone: (805) 585-9903
Fax: (805) 585-9913
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54093 California

Profile Details

NPI number 1114211612
LBN Legal business name Garfield Beach Cvs Llc
DBA Doing business as Cvs Pharmacy #17619
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2011
Last updated May 9th, 2017 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114211612 NPPES
California MEDICAID 1114211612
California Other 2130465

Popular Providers