Cvs Pharmacy #10487

LBN: Cvs Pharmacy Inc
Cvs Pharmacy #10487 is an health care organization with primary practice located at 1305 N Hwy 377 , Roanoke TX 76262. 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. Cvs Pharmacy Inc can be contacted via phone (682) 831-1923, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1305 N Hwy 377 Roanoke TX 76262
Phone: (682) 831-1923
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

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

Profile Details

NPI number 1447663869
LBN Legal business name Cvs Pharmacy Inc
DBA Doing business as Cvs Pharmacy #10487
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2014
Last updated Oct 17th, 2014 - 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 1447663869 NPPES
Other 5911866 NCPDP
MEDICAID 467012 NCPDP

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