Cvs Pharmacy #02079

LBN: New Jersey Cvs Pharmacy Llc
Cvs Pharmacy #02079 is an health care organization with primary practice located at 508High St , Mount Holly NJ 08060. 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. New Jersey Cvs Pharmacy Llc can be contacted via phone (609) 261-8963, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
508High St Mount Holly NJ 08060
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X RS005420 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1255423984
LBN Legal business name New Jersey Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #02079
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Jun 25th, 2014 - about 10 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 1255423984 NPPES
New Jersey MEDICAID 7157100
New Jersey Other 3138674

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