Cvs Pharmacy #08589

LBN: Garfield Beach Cvs, L.L.C.
Cvs Pharmacy #08589 is an health care organization with primary practice located at 15286 Summit Ave , Fontana CA 92336-0231. 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. Garfield Beach Cvs, L.L.C. can be contacted via phone (909) 463-9255, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
15286 Summit Ave Fontana CA 92336-0231
Phone: (909) 463-9255
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 PHY48523 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1265577589
LBN Legal business name Garfield Beach Cvs, L.L.C.
DBA Doing business as Cvs Pharmacy #08589
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Oct 4th, 2010 - about 16 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 1265577589 NPPES
Other 5626227 NCPDP
MEDICAID 1265577589 NCPDP

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