Cvs Pharmacy #04217

LBN: Georgia Cvs Pharmacy Llc
Cvs Pharmacy #04217 is an health care organization with primary practice located at 401 N Duval St , Claxton GA 30417-5939. 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 Llc can be contacted via phone (912) 739-1327, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
401 N Duval St Claxton GA 30417-5939
Phone: (912) 739-1327
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 Georgia
Suppliers / Pharmacy 333600000X 005208 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1023111788
LBN Legal business name Georgia Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #04217
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated May 29th, 2015 - about 9 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 1023111788 NPPES
Other 1123227 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 000154569A OTHER ID NUMBER-COMMERCIAL NUMBER

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