Cvs Pharmacy # 11085

LBN: Mississippi Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 11085 is an health care organization with primary practice located at 575 Craft Ave , Holly Springs MS 38635-3249. 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. Mississippi Cvs Pharmacy, L.L.C. can be contacted via phone (662) 252-2285, or through Colbert, Susan F. via phone (401) 765-1500.

Contact Information

Primary practice address
575 Craft Ave Holly Springs MS 38635-3249
Phone: (662) 252-2285
Fax: (662) 252-2394
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F.
Phone: (401) 765-1500

Health care specialties

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

Profile Details

NPI number 1154421154
LBN Legal business name Mississippi Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 11085
Authorized official Colbert, Susan F.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 21st, 2022 - about 2 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 1154421154 NPPES
Mississippi Other 302G735488 MASS IMM
Mississippi MEDICAID 00330511 MASS IMM
Mississippi Other 5983700059 MASS IMM
Mississippi Other 2516269 MASS IMM

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