Cvs Pharmacy # 10137

LBN: Woodward Detroit Cvs, Llc
Cvs Pharmacy # 10137 is an health care organization with primary practice located at 132 Douglas Ave. , Holland MI 49424-6514. 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 / Community/Retail Pharmacy is the primary health care specialty. Woodward Detroit Cvs, Llc can be contacted via phone (616) 396-2959, or through Colbert, Susan F via phone (401) 765-1500.

Contact Information

Primary practice address
132 Douglas Ave. Holland MI 49424-6514
Phone: (616) 396-2959
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 765-1500

Health care specialties

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

Profile Details

NPI number 1679822381
LBN Legal business name Woodward Detroit Cvs, Llc
DBA Doing business as Cvs Pharmacy # 10137
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2012
Last updated Sep 17th, 2013 - about 12 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 1679822381 NPPES
Michigan Other 2377150 NCPDP
Michigan MEDICAID 1679822381 NCPDP

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