Cvs Pharmacy #06012

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy #06012 is an health care organization with primary practice located at 51 Seven Hills Blvd , Dallas GA 30132-0810. 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 (678) 574-3032, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
51 Seven Hills Blvd Dallas GA 30132-0810
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHRE008948 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1679677512
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #06012
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Mar 13th, 2012 - about 12 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 1679677512 NPPES
Georgia MEDICAID 192754403A
Georgia Other 1153092

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