Cvs Pharmacy # 04164

LBN: Georgia Cvs Pharmacy Llc
Cvs Pharmacy # 04164 is an health care organization with primary practice located at 1680 Old Pendergrass Rd , Jefferson GA 30549-2701. 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 Llc can be contacted via phone (706) 367-9201, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1680 Old Pendergrass Rd Jefferson GA 30549-2701
Phone: (706) 367-9201
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 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X Georgia

Profile Details

NPI number 1447528039
LBN Legal business name Georgia Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 04164
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2011
Last updated Jun 11th, 2012 - about 14 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 1447528039 NPPES
Georgia Other 1161962 NCPDP

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