Cvs Pharmacy #16230

LBN: Mississippi Cvs Pharmacy Llc
Cvs Pharmacy #16230 is an health care organization with primary practice located at 6365 I 55 N , Jackson MS 39213-9742. 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 Llc can be contacted via phone (601) 718-0021, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
6365 I 55 N Jackson MS 39213-9742
Fax: (601) 718-3572
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 06404/1.2 Mississippi

Profile Details

NPI number 1518980804
LBN Legal business name Mississippi Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #16230
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 4th, 2016 - about 8 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 1518980804 NPPES
Other 2047108 PK

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