Cvs Pharmacy # 05725

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 05725 is an health care organization with primary practice located at 3940 Jonesboro Rd. , Union City GA 30291-0000. 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) 774-1161, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
3940 Jonesboro Rd. Union City GA 30291-0000
Phone: (770) 774-1161
Fax: (770) 774-4446
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 1538367537
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 05725
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated Mar 7th, 2012 - 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 1538367537 NPPES
Georgia MEDICAID 714012699A
Georgia Other 1155856

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