Cvs Pharmacy # 10549

LBN: Wisconsin Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 10549 is an health care organization with primary practice located at 1108 N 14Th St , Sheboygan WI 53081-3213. 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. Wisconsin Cvs Pharmacy, L.L.C. can be contacted via phone (920) 452-0079, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
1108 N 14Th St Sheboygan WI 53081-3213
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

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

Profile Details

NPI number 1265813364
LBN Legal business name Wisconsin Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 10549
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2015
Last updated Nov 4th, 2015 - about 9 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 1265813364 NPPES
Wisconsin Other 5134868 NCPDP
Wisconsin Other 100047841 NCPDP
Wisconsin MEDICAID 100047841 NCPDP

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