Cvs Pharmacy #08005
LBN: Woodward Detroit Cvs, L.L.C.
Cvs Pharmacy #08005 is an health care organization with primary practice located at 23115 Michigan Ave , Dearborn MI 48124-2020. 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 (313) 562-7612, or through Colbert, Susan via phone (401) 765-1500.
Contact Information
Primary practice address
23115 Michigan Ave
Dearborn MI 48124-2020
Phone: (313) 562-7612
Fax: (313) 562-0008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 5301-005022 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1568574499 |
|---|---|
| LBN Legal business name | Woodward Detroit Cvs, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #08005 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 16th, 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 | 1568574499 | NPPES |
| Other | 2331572 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 2539834 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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