Cvs Pharmacy #17455

LBN: New Jersey Cvs Pharmacy Llc
Cvs Pharmacy #17455 is an health care organization with primary practice located at 209 Stafford Park Blvd , Manahawkin NJ 08050-2734. 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) 978-4923, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
209 Stafford Park Blvd Manahawkin NJ 08050-2734
Phone: (609) 978-4923
Fax: (609) 978-5854
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00681700 New Jersey

Profile Details

NPI number 1255592341
LBN Legal business name New Jersey Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #17455
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2008
Last updated Sep 26th, 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 1255592341 NPPES
Other 2056310 PK
MEDICAID 0190055 PK

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