Cvs Pharmacy # 04567

LBN: Georgia Cvs Pharmacy Llc
Cvs Pharmacy # 04567 is an health care organization with primary practice located at 5421 New Jesup Hwy , Brunswick GA 31523-1137. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Georgia Cvs Pharmacy Llc can be contacted via phone (912) 264-1321, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
5421 New Jesup Hwy Brunswick GA 31523-1137
Phone: (912) 264-1321
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 004827 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1851494512
LBN Legal business name Georgia Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 04567
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Sep 8th, 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 1851494512 NPPES
Other 1121413 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 000113187A OTHER ID NUMBER-COMMERCIAL NUMBER

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