Cvs Pharmacy # 17839

LBN: Idaho Cvs Pharmacy Llc
Cvs Pharmacy # 17839 is an health care organization with primary practice located at 2132 W Pullman Rd , Moscow ID 83843-4011. 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. Idaho Cvs Pharmacy Llc can be contacted via phone (208) 997-5082, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
2132 W Pullman Rd Moscow ID 83843-4011
Phone: (208) 997-5082
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
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1679247068
LBN Legal business name Idaho Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 17839
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2021
Last updated Oct 5th, 2021 - about 4 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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