Cvs Pharmacy #05051

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy #05051 is an health care organization with primary practice located at 4250 Roswell Rd , Marietta GA 30062-6498. 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) 565-4064, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
4250 Roswell Rd Marietta GA 30062-6498
Phone: (770) 565-4064
Fax: (401) 770-7108
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHRE009105 Georgia
Suppliers / Pharmacy 333600000X PHRE009105 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X Georgia

Profile Details

NPI number 1841356300
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #05051
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Oct 24th, 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 1841356300 NPPES
Georgia MEDICAID 187091326A
Georgia Other 1155250

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