Cvs Pharmacy # 05621

LBN: Georgia Cvs Pharmacy Llc
Cvs Pharmacy # 05621 is an health care organization with primary practice located at 3030 Headland Dr , Atlanta GA 30311-5439. 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 (404) 346-1423, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
3030 Headland Dr Atlanta GA 30311-5439
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia
Suppliers / Pharmacy 333600000X 005518 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1538262373
LBN Legal business name Georgia Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 05621
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Oct 24th, 2011 - about 15 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 1538262373 NPPES
Other 1124863 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 000188449A OTHER ID NUMBER-COMMERCIAL NUMBER

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