Cvs Pharmacy # 10278

LBN: Kentucky Cvs Pharmacy Llc
Cvs Pharmacy # 10278 is an health care organization with primary practice located at 397 N Wallace Wilkerson Blvd , Liberty KY 42539-3017. 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. Kentucky Cvs Pharmacy Llc can be contacted via phone (606) 787-1976, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
397 N Wallace Wilkerson Blvd Liberty KY 42539-3017
Phone: (606) 787-1976
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
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1508206434
LBN Legal business name Kentucky Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 10278
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2013
Last updated Mar 20th, 2014 - about 12 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 1508206434 NPPES
Kentucky Other 1833753 NCPDP
Kentucky MEDICAID 7100274090 DME NCPDP
Kentucky MEDICAID 7100247410 NCPDP

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