Cvs Pharmacy #01612

LBN: Pennsylvania Cvs Pharmacy, L.L.C.
Cvs Pharmacy #01612 is an health care organization with primary practice located at 347 S Blakely St , Dunmore PA 18512-2254. 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. Pennsylvania Cvs Pharmacy, L.L.C. can be contacted via phone (570) 342-9138, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
347 S Blakely St Dunmore PA 18512-2254
Phone: (570) 342-9138
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PP412101L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1063516805
LBN Legal business name Pennsylvania Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #01612
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Mar 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063516805 NPPES
Other 3940473 OTHER ID NUMBER-COMMERCIAL NUMBER

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