Cvs Pharmacy #09243

LBN: Longs Drug Stores California Llc
Cvs Pharmacy #09243 is an health care organization with primary practice located at 1000 W Kettleman Ln , Lodi CA 95240-6054. 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 (209) 368-5112, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1000 W Kettleman Ln Lodi CA 95240-6054
Phone: (209) 368-5112
Fax: (209) 368-4906
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 PHY49652

Profile Details

NPI number 1972546745
LBN Legal business name Longs Drug Stores California Llc
DBA Doing business as Cvs Pharmacy #09243
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972546745 NPPES
California MEDICAID 1972546745
California Other 0587379

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