Cvs Pharmacy #06031
LBN: Mississippi Cvs Pharmacy Llc
Cvs Pharmacy #06031 is an health care organization with primary practice located at 1912 Jackson Ave W , Oxford MS 38655-4454. 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 (662) 238-3427, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
1912 Jackson Ave W
Oxford MS 38655-4454
Phone: (662) 238-3427
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1922366756 |
|---|---|
| LBN Legal business name | Mississippi Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy #06031 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 30th, 2012 |
| Last updated | Sep 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922366756 | NPPES |
| Mississippi | Other | 02721312 | MEDICAID DME |
| Mississippi | Other | 2588816 | MEDICAID DME |
| Mississippi | MEDICAID | 00680707 | MEDICAID DME |
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