Cvs Pharmacy #04719

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy #04719 is an health care organization with primary practice located at 2080 Hog Mountain Rd , Watkinsville GA 30677-1953. 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 (706) 769-8031, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
2080 Hog Mountain Rd Watkinsville GA 30677-1953
Phone: (706) 769-8031
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 006992 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1356444103
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #04719
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Jan 31st, 2021 - about 3 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 1356444103 NPPES
Other 1134321 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 000388814A OTHER ID NUMBER-COMMERCIAL NUMBER

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