Cvs Pharmacy #17519

LBN: Garfield Beach Cvs Llc
Cvs Pharmacy #17519 is an health care organization with primary practice located at 12795 Main St , Hesperia CA 92345-9110. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Garfield Beach Cvs Llc can be contacted via phone (760) 949-3064, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
12795 Main St Hesperia CA 92345-9110
Phone: (760) 949-3064
Fax: (760) 949-3134
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54117 California

Profile Details

NPI number 1336397330
LBN Legal business name Garfield Beach Cvs Llc
DBA Doing business as Cvs Pharmacy #17519
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2008
Last updated Nov 18th, 2016 - 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 1336397330 NPPES
Other 2116808 PK

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