Cvs Pharmacy #04376

LBN: Mississippi Cvs Pharmacy, L.L.C.
Cvs Pharmacy #04376 is an health care organization with primary practice located at 1209 Sunset Dr , Grenada MS 38901-4063. 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 (401) 765-1500, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
1209 Sunset Dr Grenada MS 38901-4063
Phone: (401) 765-1500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

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

Profile Details

NPI number 1861654733
LBN Legal business name Mississippi Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #04376
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2008
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 1861654733 NPPES
Mississippi Other 2587268 NCPDP
Mississippi MEDICAID 07532267 NCPDP

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