Cvs Pharmacy #11422
LBN: Pennsylvania Cvs Pharmacy, L.L.C.
Cvs Pharmacy #11422 is an health care organization with primary practice located at 177 Erie Blvd , Susquehanna PA 18847-2791. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pennsylvania Cvs Pharmacy, L.L.C. can be contacted via phone (570) 853-0901, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
177 Erie Blvd
Susquehanna PA 18847-2791
Phone: (570) 853-0901
Fax: (570) 853-3159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PP412034L | Pennsylvania |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PP412034L | Pennsylvania |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP412034L | Pennsylvania |
Profile Details
| NPI number | 1346385879 |
|---|---|
| LBN Legal business name | Pennsylvania Cvs Pharmacy, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #11422 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Feb 3rd, 2020 - about 6 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 | 1346385879 | NPPES |
| Pennsylvania | MEDICAID | 1007589140003 |
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