Cvs Pharmacy # 00342

LBN: Pennsylvania Cvs Pharmacy Llc
Cvs Pharmacy # 00342 is an health care organization with primary practice located at 3016 Route 940 , Pocono Summit PA 18344-2310. 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 Llc can be contacted via phone (570) 839-6670, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
3016 Route 940 Pocono Summit PA 18344-2310
Phone: (570) 839-6670
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 1063700912
LBN Legal business name Pennsylvania Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 00342
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2011
Last updated Jul 30th, 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 1063700912 NPPES
Pennsylvania Other 3995707 NCPDP
Pennsylvania MEDICAID 1015538870391 NCPDP

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