Cvs Pharmacy # 04138

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 04138 is an health care organization with primary practice located at 2720 Loganville Hwy , Loganville GA 30052-7715. 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) 277-5996, or through Colbert, Susan via phone (401) 765-2751.

Contact Information

Primary practice address
2720 Loganville Hwy Loganville GA 30052-7715
Phone: (770) 277-5996
Fax: (770) 277-5563
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-2751

Health care specialties

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

Profile Details

NPI number 1205012085
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 04138
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2008
Last updated Jul 9th, 2010 - about 15 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 1205012085 NPPES
Georgia MEDICAID 976829132A
Georgia Other 1156795

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