Cvs Pharmacy #04572
LBN: Ohio Cvs Stores Llc
Cvs Pharmacy #04572 is an health care organization with primary practice located at 641 Graham Rd , Cuyahoga Falls OH 44221-1048. 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.
Ohio Cvs Stores Llc can be contacted via phone (330) 922-1298, or through Colbert, Susan F via phone (401) 765-1500.
Contact Information
Primary practice address
641 Graham Rd
Cuyahoga Falls OH 44221-1048
Phone: (330) 922-1298
Fax: (330) 922-1441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1124256045 |
|---|---|
| LBN Legal business name | Ohio Cvs Stores Llc |
| DBA Doing business as | Cvs Pharmacy #04572 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2009 |
| Last updated | Oct 2nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124256045 | NPPES |
| Ohio | Other | 3678200 | NCPDP # |
| Ohio | MEDICAID | 2990983 | NCPDP # |
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