Cvs Pharmacy # 02417
LBN: Rhode Island Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 02417 is an health care organization with primary practice located at 935 Manton Ave , Providence RI 02909-5628. 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.
Rhode Island Cvs Pharmacy, L.L.C. can be contacted via phone (401) 453-5612, or through Mauricio, Cristiana via phone (401) 770-2937.
Contact Information
Primary practice address
935 Manton Ave
Providence RI 02909-5628
Phone: (401) 453-5612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Rhode Island | |
| Suppliers / Pharmacy | 333600000X | 00251 | Rhode Island |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1285738088 |
|---|---|
| LBN Legal business name | Rhode Island Cvs Pharmacy, L.L.C. |
| DBA Doing business as | Cvs Pharmacy # 02417 |
| Authorized official | Mauricio, Cristiana |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jun 16th, 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 | 1285738088 | NPPES |
| Other | 4106111 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| Other | 3910034 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | RI76221 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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