Cvs Pharmacy #08103
LBN: Woodward Detroit Cvs, L.L.C.
Cvs Pharmacy #08103 is an health care organization with primary practice located at 33 West Nine Mile Rd. , Hazel Park MI 48030-1413. 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 (248) 541-1650, or through Colbert, Susan via phone (401) 765-1500.
Contact Information
Primary practice address
33 West Nine Mile Rd.
Hazel Park MI 48030-1413
Phone: (248) 541-1650
Fax: (248) 414-5753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 5301-005452 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1073625919 |
|---|---|
| LBN Legal business name | Woodward Detroit Cvs, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #08103 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jun 26th, 2014 - about 10 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 | 1073625919 | NPPES |
| Michigan | MEDICAID | 2683275 | |
| Michigan | Other | 2347486 |
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