Cvs Pharmacy #09130
LBN: Longs Drug Stores California Llc
Cvs Pharmacy #09130 is an health care organization with primary practice located at 175 41St St , Oakland CA 94611-5206. 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 (510) 658-3496, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
175 41St St
Oakland CA 94611-5206
Phone: (510) 658-3496
Fax: (510) 658-0772
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY49330 | California |
Profile Details
NPI number | 1881638229 |
---|---|
LBN Legal business name | Longs Drug Stores California Llc |
DBA Doing business as | Cvs Pharmacy #09130 |
Authorized official | Colbert, Susan |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 16th, 2006 |
Last updated | Mar 2nd, 2012 - about 12 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 | 1881638229 | NPPES |
California | MEDICAID | 1881638229 | |
California | Other | 0504678 |
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