Cvs Pharmacy #17696

LBN: Pennsylvania Cvs Pharmacy, L.L.C
Cvs Pharmacy #17696 is an health care organization with primary practice located at 7162 Ridge Ave , Philadelphia PA 19128-3250. 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 (215) 483-2124, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
7162 Ridge Ave Philadelphia PA 19128-3250
Phone: (215) 483-2124
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
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 1487190757
LBN Legal business name Pennsylvania Cvs Pharmacy, L.L.C
DBA Doing business as Cvs Pharmacy #17696
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2017
Last updated May 3rd, 2017 - about 9 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 1487190757 NPPES
Pennsylvania Other 6004826 NCPDP
Pennsylvania MEDICAID 1015538870529 NCPDP

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