Cvs Pharmacy # 05744
LBN: Mississippi Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 05744 is an health care organization with primary practice located at 3910 Hardy St , Hattiesburg MS 39402-1500. 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) 264-6300, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
3910 Hardy St
Hattiesburg MS 39402-1500
Phone: (601) 264-6300
Fax: (601) 264-2907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 00727/01.2 | Mississippi |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1508965815 |
|---|---|
| LBN Legal business name | Mississippi Cvs Pharmacy, L.L.C. |
| DBA Doing business as | Cvs Pharmacy # 05744 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Mar 1st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508965815 | NPPES |
| Mississippi | MEDICAID | 000330337 | |
| Mississippi | Other | 2500216 |
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