Cvs Pharmacy #04717

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy #04717 is an health care organization with primary practice located at 2429 Martin Luther King Jr. Dr. , Atlanta GA 30311. 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 (404) 691-3344, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
2429 Martin Luther King Jr. Dr. Atlanta GA 30311
Phone: (404) 691-3344
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 007925 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1740383512
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #04717
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Jan 17th, 2023 - about 3 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 1740383512 NPPES
Georgia MEDICAID 000680204B
Georgia Other 1142099

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