Cvs Pharmacy #17211

LBN: Garfield Beach Cvs Llc
Cvs Pharmacy #17211 is an health care organization with primary practice located at 900 Spectrum Center Dr , Irvine CA 92618-4958. 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 (949) 885-0115, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
900 Spectrum Center Dr Irvine CA 92618-4958
Fax: (949) 885-0115
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 PHY54144 California

Profile Details

NPI number 1295776235
LBN Legal business name Garfield Beach Cvs Llc
DBA Doing business as Cvs Pharmacy #17211
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated May 31st, 2017 - about 7 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 1295776235 NPPES
Other 2114972 PK
MEDICAID 1295776235 PK

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