Cvs Pharmacy #06764

LBN: Pennsylvania Cvs Pharmacy, L.L.C.
Cvs Pharmacy #06764 is an health care organization with primary practice located at 1321 Allegheny St , Jersey Shore PA 17740-1113. 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. Pennsylvania Cvs Pharmacy, L.L.C. can be contacted via phone (570) 398-9862, or through Colbert, Susan F. via phone (401) 765-1500.

Contact Information

Primary practice address
1321 Allegheny St Jersey Shore PA 17740-1113
Phone: (570) 398-9862
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F.
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PP481476 Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104923606
LBN Legal business name Pennsylvania Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #06764
Authorized official Colbert, Susan F.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2006
Last updated Sep 15th, 2014 - about 12 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 1104923606 NPPES
Other 3984449 OTHER ID NUMBER-COMMERCIAL NUMBER

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