Cvs Pharmacy #09529
LBN: Longs Drug Stores California Llc
Cvs Pharmacy #09529 is an health care organization with primary practice located at 442 Las Gallinas Ave , San Rafael CA 94903-3618. 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 (415) 479-9171, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
442 Las Gallinas Ave
San Rafael CA 94903-3618
Phone: (415) 479-9171
Fax: (415) 479-1315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY49688 | California |
Profile Details
| NPI number | 1326081688 |
|---|---|
| LBN Legal business name | Longs Drug Stores California Llc |
| DBA Doing business as | Cvs Pharmacy #09529 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Mar 7th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326081688 | NPPES |
| Other | 0504806 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 1326081688 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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