Cvs Pharmacy #03932

LBN: Longs Drug Stores California Llc
Cvs Pharmacy #03932 is an health care organization with primary practice located at 150 S Main St , Fort Bragg CA 95437-4205. 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 (707) 961-0464, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
150 S Main St Fort Bragg CA 95437-4205
Phone: (707) 961-0464
Fax: (707) 961-0460
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 PHY49516 California

Profile Details

NPI number 1134162498
LBN Legal business name Longs Drug Stores California Llc
DBA Doing business as Cvs Pharmacy #03932
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 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 1134162498 NPPES
Other 0512447 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1134162498 OTHER ID NUMBER-COMMERCIAL NUMBER

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