Cvs Pharmacy #04678

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy #04678 is an health care organization with primary practice located at 320 E 20Th St. , Tifton GA 31794. 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 (229) 386-8288, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
320 E 20Th St. Tifton GA 31794
Phone: (229) 386-8288
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHRE006942 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285793331
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #04678
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Mar 7th, 2012 - about 12 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 1285793331 NPPES
Georgia MEDICAID 000388231B
Georgia Other 1133913

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