Cvs Pharmacy #08183
LBN: Woodward Detroit Cvs, L.L.C.
Cvs Pharmacy #08183 is an health care organization with primary practice located at 22515 Greater Mack Ave , Saint Clair Shores MI 48080-2040. 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.
Woodward Detroit Cvs, L.L.C. can be contacted via phone (586) 447-4368, or through Colbert, Susan via phone (401) 765-1500.
Contact Information
Primary practice address
22515 Greater Mack Ave
Saint Clair Shores MI 48080-2040
Phone: (586) 447-4368
Fax: (586) 447-4374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 5301-006464 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1073615365 |
|---|---|
| LBN Legal business name | Woodward Detroit Cvs, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #08183 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Feb 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073615365 | NPPES |
| Other | 2356118 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 3276246 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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