Cvs Pharmacy # 05081

LBN: Pennsylvania Cvs Pharmacy Llc
Cvs Pharmacy # 05081 is an health care organization with primary practice located at 101 W City Ave , Bala Cynwyd PA 19004-3164. 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 (610) 668-3890, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
101 W City Ave Bala Cynwyd PA 19004-3164
Phone: (610) 668-3890
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 1811276777
LBN Legal business name Pennsylvania Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 05081
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2011
Last updated Feb 22nd, 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 1811276777 NPPES
Pennsylvania Other 1811276777 PACE
Pennsylvania MEDICAID 1015538870397 PACE
Pennsylvania Other 3995810 PACE

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