Cvs Pharmacy #02213

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy #02213 is an health care organization with primary practice located at 7055 Old National Hwy , Riverdale GA 30296-1665. 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) 909-5672, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
7055 Old National Hwy Riverdale GA 30296-1665
Phone: (770) 909-5672
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 Georgia
Suppliers / Pharmacy 333600000X 008131 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609970532
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #02213
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 29th, 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 1609970532 NPPES
Other 1144106 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 000757215A OTHER ID NUMBER-COMMERCIAL NUMBER

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