Cvs Pharmacy # 06142
LBN: Oklahoma Cvs Pharmacy Llc
Cvs Pharmacy # 06142 is an health care organization with primary practice located at 4500 N Kickapoo Ave , Shawnee OK 74804-1208. 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 (405) 878-0244, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
4500 N Kickapoo Ave
Shawnee OK 74804-1208
Phone: (405) 878-0244
Fax: (405) 878-0432
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 10-5261 | Oklahoma |
Suppliers / Pharmacy | 333600000X | 10-5261 | Oklahoma |
Suppliers / Community/Retail Pharmacy | 3336C0003X | 10-5261 | Oklahoma |
Profile Details
NPI number | 1588768311 |
---|---|
LBN Legal business name | Oklahoma Cvs Pharmacy Llc |
DBA Doing business as | Cvs Pharmacy # 06142 |
Authorized official | Colbert, Susan |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 12th, 2006 |
Last updated | Jan 17th, 2023 - about last year |
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 | 1588768311 | NPPES |
Oklahoma | MEDICAID | 90003921095 | |
Oklahoma | Other | 3715577 | |
Oklahoma | Other | 100239430B |
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