Cvs Pharmacy #01616

LBN: Pennsylvania Cvs Pharmacy, L.L.C.
Cvs Pharmacy #01616 is an health care organization with primary practice located at 960 Wyoming Ave , Exeter PA 18643. 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) 654-7422, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
960 Wyoming Ave Exeter PA 18643
Phone: (570) 654-7422
Fax: (570) 603-7421
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 PP413871L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1780782425
LBN Legal business name Pennsylvania Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #01616
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 5th, 2012 - about 14 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 1780782425 NPPES
Pennsylvania MEDICAID 10073750359
Pennsylvania Other 3952973

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