Cvs Pharmacy # 07717

LBN: Georgia Cvs Pharmacy Llc
Cvs Pharmacy # 07717 is an health care organization with primary practice located at 1201 East First St , Vidalia GA 30474-5500. 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) 537-8767, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1201 East First St Vidalia GA 30474-5500
Phone: (912) 537-8767
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 006530 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1508969346
LBN Legal business name Georgia Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 07717
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Sep 8th, 2011 - 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 1508969346 NPPES
Georgia MEDICAID 000312089A
Georgia Other 1129471

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