Cvs Pharmacy #09863
LBN: Longs Drug Stores California Llc
Cvs Pharmacy #09863 is an health care organization with primary practice located at 175 E 17Th St , Costa Mesa CA 92627-3708. 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 (949) 631-9223, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
175 E 17Th St
Costa Mesa CA 92627-3708
Phone: (949) 631-9223
Fax: (949) 631-6907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY49635 | California |
Profile Details
| NPI number | 1467494278 |
|---|---|
| LBN Legal business name | Longs Drug Stores California Llc |
| DBA Doing business as | Cvs Pharmacy #09863 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467494278 | NPPES |
| Other | 0578231 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 1467494278 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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