Cvs Pharmacy #03077

LBN: Longs Drug Stores California Llc
Cvs Pharmacy #03077 is an health care organization with primary practice located at 801 Oakdale Rd Ste F, Modesto CA 95355-4592. 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 (209) 525-9430, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
801 Oakdale Rd Ste F Modesto CA 95355-4592
Phone: (209) 525-9430
Fax: (209) 525-9440
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 PHY49572 California

Profile Details

NPI number 1679515480
LBN Legal business name Longs Drug Stores California Llc
DBA Doing business as Cvs Pharmacy #03077
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 23rd, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679515480 NPPES
Other 0564167 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1679515480 OTHER ID NUMBER-COMMERCIAL NUMBER

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