Cvs Pharmacy #09723

LBN: Garfield Beach Cvs Llc
Cvs Pharmacy #09723 is an health care organization with primary practice located at 11428 Kenyon Way , Rancho Cucamonga CA 91701-9234. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Garfield Beach Cvs Llc can be contacted via phone (909) 948-1065, or through Mauricio, Cristiana via phone (401) 770-2937.

Contact Information

Primary practice address
11428 Kenyon Way Rancho Cucamonga CA 91701-9234
Phone: (909) 948-1065
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mauricio, Cristiana
Phone: (401) 770-2937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386685204
LBN Legal business name Garfield Beach Cvs Llc
DBA Doing business as Cvs Pharmacy #09723
Authorized official Mauricio, Cristiana
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Jun 30th, 2009 - 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 1386685204 NPPES
Other 5619056 OTHER ID NUMBER-COMMERCIAL NUMBER

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