Cvs Pharmacy #05340

LBN: Louisiana Cvs Pharmacy, L.L.C.
Cvs Pharmacy #05340 is an health care organization with primary practice located at 9643 Jefferson Hwy # B , River Ridge LA 70123-2509. 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. Louisiana Cvs Pharmacy, L.L.C. can be contacted via phone (504) 737-6242, or through Colbert, Susan via phone (401) 770-7751.

Contact Information

Primary practice address
9643 Jefferson Hwy # B River Ridge LA 70123-2509
Fax: (504) 737-7419
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5396 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1679677504
LBN Legal business name Louisiana Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #05340
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 10th, 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 1679677504 NPPES
Louisiana MEDICAID 001264865
Louisiana Other 1915151

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