Cvs Pharmacy #02367

LBN: Georgia Cvs Pharmacy, L.L.C.
Cvs Pharmacy #02367 is an health care organization with primary practice located at 225 W Ponce De Leon Ave , Decatur GA 30030-3270. 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) 373-9627, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
225 W Ponce De Leon Ave Decatur GA 30030-3270
Phone: (404) 373-9627
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 008319 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1992809826
LBN Legal business name Georgia Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #02367
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 1992809826 NPPES
Georgia MEDICAID 000835128A
Georgia Other 1146100

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