Cvs Pharmacy #17657

LBN: Garfield Beach Cvs Llc
Cvs Pharmacy #17657 is an health care organization with primary practice located at 2700 5Th St , Alameda CA 94501-6574. 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 (510) 214-0932, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
2700 5Th St Alameda CA 94501-6574
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54194 California

Profile Details

NPI number 1205260072
LBN Legal business name Garfield Beach Cvs Llc
DBA Doing business as Cvs Pharmacy #17657
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2013
Last updated Jan 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205260072 NPPES
Other 2141802 PK
MEDICAID 1205260072 PK

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