Cvs Pharmacy #08114

LBN: Woodward Detroit Cvs, L.L.C.
Cvs Pharmacy #08114 is an health care organization with primary practice located at 15300 Eureka Rd , Southgate MI 48195-3261. 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 (734) 283-9500, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
15300 Eureka Rd Southgate MI 48195-3261
Fax: (734) 283-2248
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 5301-005608 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1770685018
LBN Legal business name Woodward Detroit Cvs, L.L.C.
DBA Doing business as Cvs Pharmacy #08114
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2006
Last updated Jun 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770685018 NPPES
Other 2348882 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 2749930 OTHER ID NUMBER-COMMERCIAL NUMBER

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