Cvs Pharmacy # 05925

LBN: Mississippi Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 05925 is an health care organization with primary practice located at 1600 E County Line Rd , Ridgeland MS 39157-1906. 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) 957-1874, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1600 E County Line Rd Ridgeland MS 39157-1906
Fax: (601) 957-9648
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 05150/01.2 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1770682080
LBN Legal business name Mississippi Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 05925
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770682080 NPPES
Mississippi MEDICAID 0330636
Mississippi Other 2520799

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