Cvs Pharmacy # 05740

LBN: Mississippi Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 05740 is an health care organization with primary practice located at 1701 A Hwy 43 N , Picayune MS 39466. 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. Mississippi Cvs Pharmacy, L.L.C. can be contacted via phone (601) 749-2213, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1701 A Hwy 43 N Picayune MS 39466
Fax: (601) 749-2271
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 00934/01.2 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1033219472
LBN Legal business name Mississippi Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 05740
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 17th, 2023 - about 3 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 1033219472 NPPES
Other 2500797 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 003330326 OTHER ID NUMBER-COMMERCIAL NUMBER

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