Cvs Pharmacy 03419

LBN: Ohio Cvs Stores Llc
Cvs Pharmacy 03419 is an health care organization with primary practice located at 353 E Main St , Jackson OH 45640-1758. 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 (740) 286-6401, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
353 E Main St Jackson OH 45640-1758
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 21-09350 Ohio
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1467555185
LBN Legal business name Ohio Cvs Stores Llc
DBA Doing business as Cvs Pharmacy 03419
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Oct 25th, 2011 - about 13 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 1467555185 NPPES
Other 3609825 OTHER ID NUMBER-COMMERCIAL NUMBER

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