Cvs Pharmacy # 10755

LBN: Mississippi Cvs Pharmacy, Llc
Cvs Pharmacy # 10755 is an health care organization with primary practice located at 4422 Kalani Dr , Diamondhead MS 39525-3321. 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, Llc can be contacted via phone (228) 255-7343, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
4422 Kalani Dr Diamondhead MS 39525-3321
Phone: (228) 255-7343
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

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

Profile Details

NPI number 1487043527
LBN Legal business name Mississippi Cvs Pharmacy, Llc
DBA Doing business as Cvs Pharmacy # 10755
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2015
Last updated Sep 21st, 2015 - about 11 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 1487043527 NPPES
Mississippi MEDICAID 00030634
Mississippi Other 2590051
Mississippi MEDICAID 00023721 DME

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