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
Fax: (619) 462-0153
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780627042 NPPES
Other 0505086 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1780627042 OTHER ID NUMBER-COMMERCIAL NUMBER

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