Cvs Pharmacy#09995

LBN: Longs Drug Stores California Llc
Cvs Pharmacy#09995 is an health care organization with primary practice located at 1405 Foxworthy Ave , San Jose CA 95118-1119. 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 / Community/Retail Pharmacy is the primary health care specialty. Longs Drug Stores California Llc can be contacted via phone (408) 264-0371, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1405 Foxworthy Ave San Jose CA 95118-1119
Phone: (408) 264-0371
Fax: (408) 264-1108
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 PHY44507 California

Profile Details

NPI number 1336182666
LBN Legal business name Longs Drug Stores California Llc
DBA Doing business as Cvs Pharmacy#09995
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 31st, 2015 - about 9 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 1336182666 NPPES
Other 0537437 OTHER ID NUMBER
Other 0537437 OTHER ID NUMBER
MEDICAID PHA 445070 OTHER ID NUMBER

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