Cvs Pharmacy # 10213

LBN: Oklahoma Cvs Pharmacy Llc
Cvs Pharmacy # 10213 is an health care organization with primary practice located at 1250 W Main St , Durant OK 74701-4932. 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. Oklahoma Cvs Pharmacy Llc can be contacted via phone (580) 920-9945, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
1250 W Main St Durant OK 74701-4932
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

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

Profile Details

NPI number 1487088191
LBN Legal business name Oklahoma Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 10213
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2013
Last updated Jul 3rd, 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 1487088191 NPPES
Oklahoma MEDICAID 100233690M
Oklahoma Other 100233690S
Oklahoma Other 3727609

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