Cvs Pharmacy # 05808

LBN: Mississippi Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 05808 is an health care organization with primary practice located at 760 S Martin Luther King Hwy , Greenville MS 38701. 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) 332-1518, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
760 S Martin Luther King Hwy Greenville MS 38701
Phone: (662) 332-1518
Fax: (662) 335-8985
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 00670/01.2 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306946744
LBN Legal business name Mississippi Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 05808
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 17th, 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 1306946744 NPPES
Other 2500393 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 000330344 OTHER ID NUMBER-COMMERCIAL NUMBER

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