Cvs Pharmacy # 04515

LBN: Georgia Cvs Pharmacy Llc
Cvs Pharmacy # 04515 is an health care organization with primary practice located at 14857 Us Highway 19 S , Thomasville GA 31792-4870. 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) 228-7785, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
14857 Us Highway 19 S Thomasville GA 31792-4870
Phone: (912) 228-7785
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 004059 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1588767230
LBN Legal business name Georgia Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 04515
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Jan 17th, 2023 - about last year

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 1588767230 NPPES
Florida MEDICAID 004311600
Florida Other 1101384

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