Cvs Pharmacy # 10048

LBN: Kentucky Cvs Pharmacy Llc
Cvs Pharmacy # 10048 is an health care organization with primary practice located at 1571 N Dixie Hwy , Elizabethtown KY 42701-2653. 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. Kentucky Cvs Pharmacy Llc can be contacted via phone (270) 737-0352, or through Colbert, Susan F via phone (401) 765-1500.

Contact Information

Primary practice address
1571 N Dixie Hwy Elizabethtown KY 42701-2653
Phone: (270) 737-0352
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 765-1500

Health care specialties

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

Profile Details

NPI number 1679904270
LBN Legal business name Kentucky Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 10048
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2013
Last updated Apr 11th, 2014 - about 10 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 1679904270 NPPES
Kentucky Other 1834096 NCPDP
Kentucky MEDICAID 7100277390 NCPDP

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