Cvs Pharmacy #02146

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy #02146 is an health care organization with primary practice located at 4345 S Cobb Dr Se , Smyrna GA 30080-6331. 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. Georgia Cvs Pharmacy, L.L.C. can be contacted via phone (770) 438-5042, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
4345 S Cobb Dr Se Smyrna GA 30080-6331
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia
Suppliers / Pharmacy 333600000X 008115 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1164526091
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #02146
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 21st, 2011 - 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 1164526091 NPPES
Georgia MEDICAID 000745676A
Georgia Other 1143926

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