Cvs Pharmacy # 00191

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 00191 is an health care organization with primary practice located at 5510 Castleberry Rd , Cumming GA 30040-8054. 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) 887-7720, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
5510 Castleberry Rd Cumming GA 30040-8054
Phone: (770) 887-7720
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHRE009058 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306955083
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 00191
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 9th, 2010 - about 14 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 1306955083 NPPES
Georgia MEDICAID 340306916C

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