Cvs Pharmacy #16294

LBN: Garfield Beach Cvs Llc
Cvs Pharmacy #16294 is an health care organization with primary practice located at 2355 W Kettleman Ln , Lodi CA 95242-4120. 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 Llc can be contacted via phone (209) 339-0232, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
2355 W Kettleman Ln Lodi CA 95242-4120
Phone: (209) 339-0232
Fax: (209) 371-2071
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 PHY54008 California

Profile Details

NPI number 1992728299
LBN Legal business name Garfield Beach Cvs Llc
DBA Doing business as Cvs Pharmacy #16294
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 2nd, 2017 - about 9 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 1992728299 NPPES
California MEDICAID 1992728299
California Other 2113441

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