Cvs Pharmacy #07888

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy #07888 is an health care organization with primary practice located at 6120 Hickory Flat Hwy , Canton GA 30115-7252. 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. Georgia Cvs Pharmacy, L.L.C. can be contacted via phone (770) 720-0610, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
6120 Hickory Flat Hwy Canton GA 30115-7252
Phone: (770) 720-0610
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 PHRE008956 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1588768428
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #07888
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 25th, 2011 - about 15 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 1588768428 NPPES
Other 1153270 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 489661982A OTHER ID NUMBER-COMMERCIAL NUMBER

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