Cvs Pharmacy # 04522

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 04522 is an health care organization with primary practice located at 800 E West Connector , Austell GA 30106-1358. 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) 438-1680, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
800 E West Connector Austell GA 30106-1358
Phone: (770) 438-1680
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 1629231923
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 04522
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2008
Last updated Jul 9th, 2010 - about 15 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 1629231923 NPPES
Georgia Other 1157519 NCPDP
Georgia MEDICAID 827986700A NCPDP

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