Cvs Pharmacy #17632

LBN: Oregon Cvs Pharmacy Llc
Cvs Pharmacy #17632 is an health care organization with primary practice located at 1555 N Tomahawk Island Dr , Portland OR 97217-7912. 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. Oregon Cvs Pharmacy Llc can be contacted via phone (503) 205-9110, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1555 N Tomahawk Island Dr Portland OR 97217-7912
Phone: (503) 205-9110
Fax: (503) 205-9120
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
Suppliers / Community/Retail Pharmacy 3336C0003X RP-0002731 Oregon

Profile Details

NPI number 1467708214
LBN Legal business name Oregon Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #17632
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2012
Last updated Nov 25th, 2016 - about 10 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 1467708214 NPPES
Other 2136248 PK

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