Cvs Pharmacy #09169
LBN: Longs Drug Stores California Llc
Cvs Pharmacy #09169 is an health care organization with primary practice located at 5500 Grossmont Center Dr Bldg P , La Mesa CA 91942-3030. 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 (619) 465-1011, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
5500 Grossmont Center Dr Bldg P
La Mesa CA 91942-3030
Phone: (619) 465-1011
Fax: (619) 462-0153
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY49339 | California |
Profile Details
NPI number | 1780627042 |
---|---|
LBN Legal business name | Longs Drug Stores California Llc |
DBA Doing business as | Cvs Pharmacy #09169 |
Authorized official | Colbert, Susan |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Feb 1st, 2021 - about 4 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 | 1780627042 | NPPES |
Other | 0505086 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
MEDICAID | 1780627042 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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