Cvs Pharmacy # 04020

LBN: Pennsylvania Cvs Pharmacy, L.L.C
Cvs Pharmacy # 04020 is an health care organization with primary practice located at 201 Fieldcrest Dr. , Nottingham PA 19362-9797. 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 (610) 932-8251, or through Colbert, Susan F. via phone (401) 765-1500.

Contact Information

Primary practice address
201 Fieldcrest Dr. Nottingham PA 19362-9797
Phone: (610) 932-8251
Fax: (401) 770-7108
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
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1467779769
LBN Legal business name Pennsylvania Cvs Pharmacy, L.L.C
DBA Doing business as Cvs Pharmacy # 04020
Authorized official Colbert, Susan F.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2010
Last updated Sep 12th, 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 1467779769 NPPES
Pennsylvania Other 3993664 NCPDP
Pennsylvania MEDICAID 1015538870036 NCPDP
Pennsylvania Other 1467779769 NCPDP

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