Cvs Pharmacy 10249

LBN: Pennsylvania Cvs Pharmacy Llc
Cvs Pharmacy 10249 is an health care organization with primary practice located at 1650 Menoher Blvd , Johnstown PA 15905-2000. 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 (814) 255-2792, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
1650 Menoher Blvd Johnstown PA 15905-2000
Phone: (814) 255-2792
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1467835546
LBN Legal business name Pennsylvania Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy 10249
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2015
Last updated Nov 4th, 2015 - about 11 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 1467835546 NPPES
Pennsylvania Other 6002478 NCPDP
Pennsylvania MEDICAID 1467835546 PACE NCPDP

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