Cvs Pharmacy # 05777

LBN: Mississippi Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 05777 is an health care organization with primary practice located at 501 N 16Th Ave , Laurel MS 39440. 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) 428-0408, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
501 N 16Th Ave Laurel MS 39440
Phone: (601) 428-0408
Fax: (601) 428-5832
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 01099/01.2 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1497855837
LBN Legal business name Mississippi Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 05777
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 26th, 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 1497855837 NPPES
Mississippi MEDICAID 000330345
Mississippi Other 2500379

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