Cvs Pharmacy # 05756

LBN: Mississippi Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 05756 is an health care organization with primary practice located at 1420 Canton Mart Rd , Jackson MS 39211-5434. 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) 956-5143, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1420 Canton Mart Rd Jackson MS 39211-5434
Phone: (601) 956-5143
Fax: (601) 956-9695
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 00985/01.2 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1235238544
LBN Legal business name Mississippi Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 05756
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Mar 1st, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235238544 NPPES
Mississippi MEDICAID 000330346
Mississippi Other 2500482

Popular Providers