Cvs Pharmacy #04990

LBN: Tennessee Cvs Pharmacy Llc
Cvs Pharmacy #04990 is an health care organization with primary practice located at 3502 Park Avenue , Memphis TN 38111-5622. 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 (901) 324-1050, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
3502 Park Avenue Memphis TN 38111-5622
Phone: (901) 324-1050
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
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1801167408
LBN Legal business name Tennessee Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #04990
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2012
Last updated Jul 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801167408 NPPES
Tennessee Other 00004995 PHARMACY STATE LICENSE
Tennessee Other 4444763 PHARMACY STATE LICENSE

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