Cvs Pharmacy #03113
LBN: South Carolina Cvs Pharmacy, L.L.C.
Cvs Pharmacy #03113 is an health care organization with primary practice located at 1602 Central Ave , Summerville SC 29483-5528. 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.
South Carolina Cvs Pharmacy, L.L.C. can be contacted via phone (401) 765-1500, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
1602 Central Ave
Summerville SC 29483-5528
Phone: (401) 765-1500
Fax: (401) 770-7108
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 | 1720111305 |
|---|---|
| LBN Legal business name | South Carolina Cvs Pharmacy, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #03113 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Feb 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720111305 | NPPES |
| South Carolina | MEDICAID | 793678 |
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