Cvs Pharmacy # 03082

LBN: Georgia Cvs Pharmacy, Llc
Cvs Pharmacy # 03082 is an health care organization with primary practice located at 1597 Hogansville Rd , Lagrange GA 30241-1423. 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 (401) 765-1500, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1597 Hogansville Rd Lagrange GA 30241-1423
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

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

Profile Details

NPI number 1871892463
LBN Legal business name Georgia Cvs Pharmacy, Llc
DBA Doing business as Cvs Pharmacy # 03082
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2011
Last updated Sep 19th, 2011 - about 13 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 1871892463 NPPES
Georgia MEDICAID 003109905A
Georgia Other 1161215

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