Cvs Pharmacy #03784

LBN: Tennessee Cvs Pharmacy Llc
Cvs Pharmacy #03784 is an health care organization with primary practice located at 200 Stuart Rd Ne , Cleveland TN 37312-4805. 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. Tennessee Cvs Pharmacy Llc can be contacted via phone (423) 479-9703, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
200 Stuart Rd Ne Cleveland TN 37312-4805
Phone: (423) 479-9703
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 0000000050 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104929801
LBN Legal business name Tennessee Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #03784
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Sep 16th, 2011 - about 13 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 1104929801 NPPES
Other 4412728 OTHER ID NUMBER-COMMERCIAL NUMBER

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