Cvs Pharmacy #05825

LBN: Mississippi Cvs Pharmacy, L.L.C.
Cvs Pharmacy #05825 is an health care organization with primary practice located at 820 Highway 19 N Ste 195 , Meridian MS 39307-5820. 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 (601) 482-7194, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
820 Highway 19 N Ste 195 Meridian MS 39307-5820
Phone: (601) 482-7194
Fax: (601) 483-7056
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 00659/01.2 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1417056722
LBN Legal business name Mississippi Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #05825
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 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 1417056722 NPPES
Mississippi MEDICAID 000330343
Mississippi Other 2500317

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