Cvs Pharmacy #04047

LBN: New Jersey Cvs Pharmacy Llc
Cvs Pharmacy #04047 is an health care organization with primary practice located at 5000 Route 42 , Blackwood NJ 08012-1733. 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 (856) 227-7178, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
5000 Route 42 Blackwood NJ 08012-1733
Phone: (856) 227-7178
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

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

Profile Details

NPI number 1659566222
LBN Legal business name New Jersey Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #04047
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2007
Last updated Nov 5th, 2010 - about 14 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 1659566222 NPPES
New Jersey Other 0163601 NJ MEDICAID DME #
New Jersey Other 3194660 NJ MEDICAID DME #
New Jersey MEDICAID 0149128 NJ MEDICAID DME #

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