Cvs Pharmacy #09208

LBN: Longs Drug Stores California Llc
Cvs Pharmacy #09208 is an health care organization with primary practice located at 13763 Mono Way , Sonora CA 95370-8813. 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. Longs Drug Stores California Llc can be contacted via phone (209) 532-6973, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
13763 Mono Way Sonora CA 95370-8813
Phone: (209) 532-6973
Fax: (209) 533-8459
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 PHY49531 California

Profile Details

NPI number 1073556833
LBN Legal business name Longs Drug Stores California Llc
DBA Doing business as Cvs Pharmacy #09208
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073556833 NPPES
Other 0579815 OTHER ID NUMBER
MEDICAID 1073556833 OTHER ID NUMBER
Other 0579815 OTHER ID NUMBER

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