Cvs Pharmacy # 03998
LBN: Pennsylvania Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 03998 is an health care organization with primary practice located at 5122 Milford Rd. , East Stroudsburg PA 18302. 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 (401) 765-1500, or through Mauricio, Cristiana via phone (401) 765-1500.
Contact Information
Primary practice address
5122 Milford Rd.
East Stroudsburg PA 18302
Phone: (401) 765-1500
Fax:
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 | 1952590481 |
|---|---|
| LBN Legal business name | Pennsylvania Cvs Pharmacy, L.L.C. |
| DBA Doing business as | Cvs Pharmacy # 03998 |
| Authorized official | Mauricio, Cristiana |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 22nd, 2007 |
| Last updated | Sep 12th, 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 | 1952590481 | NPPES |
| Other | P00754678 | MEDICARE RR | |
| Other | 3989160 | MEDICARE RR | |
| MEDICAID | 1015538870019 | MEDICARE RR |
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