Cvs Pharmacy # 02022

LBN: Connecticut Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 02022 is an health care organization with primary practice located at 163 Mountain Rd , Suffield CT 06078-2005. 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. Connecticut Cvs Pharmacy, L.L.C. can be contacted via phone (860) 668-5115, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
163 Mountain Rd Suffield CT 06078-2005
Phone: (860) 668-5115
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 0899 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1063516979
LBN Legal business name Connecticut Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 02022
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Feb 3rd, 2016 - 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 1063516979 NPPES
Connecticut MEDICAID 004140555
Connecticut Other 0716297

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