Cvs Pharmacy #02108

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy #02108 is an health care organization with primary practice located at 5095 Peachtree Pkwy , Norcross GA 30092-2524. 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) 209-9299, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
5095 Peachtree Pkwy Norcross GA 30092-2524
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia
Suppliers / Pharmacy 333600000X 008013 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1710081633
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #02108
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 29th, 2010 - about 14 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 1710081633 NPPES
Other 1142861 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 000717208A OTHER ID NUMBER-COMMERCIAL NUMBER

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