Cvs Pharmacy #05396

LBN: Louisiana Cvs Pharmacy, L.L.C.
Cvs Pharmacy #05396 is an health care organization with primary practice located at 4890 Barksdale Blvd , Bossier City LA 71112-4566. 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. Louisiana Cvs Pharmacy, L.L.C. can be contacted via phone (318) 747-4330, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
4890 Barksdale Blvd Bossier City LA 71112-4566
Fax: (318) 746-2773
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 5963 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1891899738
LBN Legal business name Louisiana Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #05396
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 10th, 2014 - about 10 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 1891899738 NPPES
Other 1918690 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 001264971 OTHER ID NUMBER-COMMERCIAL NUMBER

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