Cvs Pharmacy # 05879

LBN: Pennsylvania Cvs Pharmacy Llc
Cvs Pharmacy # 05879 is an health care organization with primary practice located at 855 S Broadway , Wind Gap PA 18091. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pennsylvania Cvs Pharmacy Llc can be contacted via phone (610) 863-5341, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
855 S Broadway Wind Gap PA 18091
Phone: (610) 863-5341
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP481537 Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1922105428
LBN Legal business name Pennsylvania Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 05879
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2006
Last updated Sep 15th, 2014 - about 12 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 1922105428 NPPES
Other 3985504 OTHER ID NUMBER-COMMERCIAL NUMBER

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