Cvs Pharmacy #02489
LBN: Oklahoma Cvs Pharmacy Llc
Cvs Pharmacy #02489 is an health care organization with primary practice located at 100 S Douglas Blvd , Midwest City OK 73130-4207. 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) 741-0036, or through Colbert, Susan F via phone (401) 765-1500.
Contact Information
Primary practice address
100 S Douglas Blvd
Midwest City OK 73130-4207
Phone: (405) 741-0036
Fax: (405) 741-0032
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 | 1902038615 |
|---|---|
| LBN Legal business name | Oklahoma Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy #02489 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2009 |
| Last updated | Nov 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902038615 | NPPES |
| Oklahoma | Other | 200113030H | MEDICAID DME |
| Oklahoma | MEDICAID | 200113030G | MEDICAID DME |
| Oklahoma | Other | 3725883 | MEDICAID DME |
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