Cvs Pharmacy #09268
LBN: Longs Drug Stores California Llc
Cvs Pharmacy #09268 is an health care organization with primary practice located at 5495 La Jolla Blvd , La Jolla CA 92037. 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 (858) 456-4833, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
5495 La Jolla Blvd
La Jolla CA 92037
Phone: (858) 456-4833
Fax: (858) 456-4837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY49630 | California |
Profile Details
| NPI number | 1548423601 |
|---|---|
| LBN Legal business name | Longs Drug Stores California Llc |
| DBA Doing business as | Cvs Pharmacy #09268 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 8th, 2008 |
| Last updated | Aug 23rd, 2011 - about 14 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 | 1548423601 | NPPES |
| Other | 5630911 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 1548423601 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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