Cvs Pharmacy #08062

LBN: Woodward Detroit Cvs, L.L.C.
Cvs Pharmacy #08062 is an health care organization with primary practice located at 28774 Gratiot Ave , Roseville MI 48066-4257. 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) 777-6350, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
28774 Gratiot Ave Roseville MI 48066-4257
Fax: (586) 447-4363
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 5301-005076 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1508978446
LBN Legal business name Woodward Detroit Cvs, L.L.C.
DBA Doing business as Cvs Pharmacy #08062
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508978446 NPPES
Other 2340583 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1757919 OTHER ID NUMBER-COMMERCIAL NUMBER

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