Cvs Pharmacy #09712

LBN: Longs Drug Stores California Llc
Cvs Pharmacy #09712 is an health care organization with primary practice located at 3340 N Texas St , Fairfield CA 94533-9758. 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 / Community/Retail Pharmacy is the primary health care specialty. Longs Drug Stores California Llc can be contacted via phone (707) 423-9463, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
3340 N Texas St Fairfield CA 94533-9758
Phone: (707) 423-9463
Fax: (707) 423-9467
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
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY49707 California

Profile Details

NPI number 1457574717
LBN Legal business name Longs Drug Stores California Llc
DBA Doing business as Cvs Pharmacy #09712
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Dec 16th, 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 1457574717 NPPES
Other 5625566 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1457574717 OTHER ID NUMBER-COMMERCIAL NUMBER

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