Cvs Pharmacy #09511

LBN: Longs Drug Stores California Llc
Cvs Pharmacy #09511 is an health care organization with primary practice located at 1175 2Nd St , Brentwood CA 94513-2211. 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. Longs Drug Stores California Llc can be contacted via phone (925) 634-8045, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
1175 2Nd St Brentwood CA 94513-2211
Phone: (925) 634-8045
Fax: (925) 634-0838
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 PHY49589 California

Profile Details

NPI number 1952344749
LBN Legal business name Longs Drug Stores California Llc
DBA Doing business as Cvs Pharmacy #09511
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Feb 14th, 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 1952344749 NPPES
Other 0524543 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1952344749 OTHER ID NUMBER-COMMERCIAL NUMBER

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