Cvs Pharmacy # 07622
LBN: Georgia Cvs Pharmacy Llc
Cvs Pharmacy # 07622 is an health care organization with primary practice located at 22 Upper Riverdale Rd , Riverdale GA 30274-2620. 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 (770) 472-4566, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
22 Upper Riverdale Rd
Riverdale GA 30274-2620
Phone: (770) 472-4566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Georgia | |
| Suppliers / Pharmacy | 333600000X | 007973 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1659474427 |
|---|---|
| LBN Legal business name | Georgia Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy # 07622 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Mar 7th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659474427 | NPPES |
| Georgia | MEDICAID | 000694592A | |
| Georgia | Other | 1142520 |
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