Cvs Pharmacy #04743

LBN: Louisiana Cvs Pharmacy Llc
Cvs Pharmacy #04743 is an health care organization with primary practice located at 9510 Ellerbe Rd , Shreveport LA 71106-7406. 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 Llc can be contacted via phone (318) 797-3272, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
9510 Ellerbe Rd Shreveport LA 71106-7406
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan F

Health care specialties

Profile Details

NPI number 1902176142
LBN Legal business name Louisiana Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #04743
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2012
Last updated Mar 7th, 2023 - about last year

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 1902176142 NPPES
Louisiana MEDICAID 2201271
Louisiana Other PHY006485RC
Louisiana Other 1936016

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