Cvs Pharmacy #09923
LBN: Longs Drug Stores California Llc
Cvs Pharmacy #09923 is an health care organization with primary practice located at 1005 E Bidwell St , Folsom CA 95630-5548. 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 (916) 983-5366, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
1005 E Bidwell St
Folsom CA 95630-5548
Phone: (916) 983-5366
Fax: (916) 983-1611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY49376 | California |
Profile Details
| NPI number | 1528002979 |
|---|---|
| LBN Legal business name | Longs Drug Stores California Llc |
| DBA Doing business as | Cvs Pharmacy #09923 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 8th, 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 | 1528002979 | NPPES |
| California | MEDICAID | 1528002979 | |
| California | Other | 0514718 |
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