Cvs Pharmacy 04207
LBN: West Virginia Cvs Pharmacy Llc
Cvs Pharmacy 04207 is an health care organization with primary practice located at 4205 Maccorkle Ave Se , Charleston WV 25304-2501. 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.
West Virginia Cvs Pharmacy Llc can be contacted via phone (304) 925-0786, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
4205 Maccorkle Ave Se
Charleston WV 25304-2501
Phone: (304) 925-0786
Fax: (304) 925-1017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1265663207 |
|---|---|
| LBN Legal business name | West Virginia Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy 04207 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 6th, 2009 |
| Last updated | Jan 17th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265663207 | NPPES |
| Other | 5055098 | NCPDP | |
| MEDICAID | 3810016060 | NCPDP |
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