Cvs Pharmacy # 10578

LBN: Utah Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 10578 is an health care organization with primary practice located at 11506 S 4000 W , South Jordan UT 84009-6070. 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. Utah Cvs Pharmacy, L.L.C. can be contacted via phone (801) 446-9995, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
11506 S 4000 W South Jordan UT 84009-6070
Phone: (801) 446-9995
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

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

Profile Details

NPI number 1235517053
LBN Legal business name Utah Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 10578
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2015
Last updated Jan 5th, 2022 - about 2 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 1235517053 NPPES
Utah Other 4613217 NCPDP
Utah MEDICAID 1235517053 NCPDP

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