Cvs Pharmacy #16825
LBN: South Carolina Cvs Pharmacy Llc
Cvs Pharmacy #16825 is an health care organization with primary practice located at 450 Azalea Square Blvd , Summerville SC 29483-7321. 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 Llc can be contacted via phone (843) 871-6935, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
450 Azalea Square Blvd
Summerville SC 29483-7321
Phone: (843) 871-6935
Fax: (843) 486-7049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 50007044 | South Carolina |
Profile Details
| NPI number | 1245252998 |
|---|---|
| LBN Legal business name | South Carolina Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy #16825 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Nov 30th, 2016 - about 8 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 | 1245252998 | NPPES |
| Other | 2092281 | PK | |
| MEDICAID | 770440 | PK |
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