Cvs Pharmacy # 04160

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 04160 is an health care organization with primary practice located at 6381 Zebulon Rd , Macon GA 31220-2601. 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 (478) 476-1911, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
6381 Zebulon Rd Macon GA 31220-2601
Phone: (478) 476-1911
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
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386847614
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 04160
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
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 1386847614 NPPES
Georgia Other 1155743 NCPDP
Georgia MEDICAID 340306916G NCPDP

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