Cvs Pharmacy # 10550

LBN: Wisconsin Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 10550 is an health care organization with primary practice located at 2200 Bracket Ave. , Eau Claire WI 54701-4619. 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. Wisconsin Cvs Pharmacy, L.L.C. can be contacted via phone (715) 839-0041, or through Colbert, Susan F. via phone (401) 765-1500.

Contact Information

Primary practice address
2200 Bracket Ave. Eau Claire WI 54701-4619
Phone: (715) 839-0041
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F.
Phone: (401) 765-1500

Health care specialties

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

Profile Details

NPI number 1114310885
LBN Legal business name Wisconsin Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 10550
Authorized official Colbert, Susan F.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2015
Last updated Jan 19th, 2023 - about 3 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 1114310885 NPPES
Wisconsin Other 5134678 NCPDP
Wisconsin MEDICAID 1114310885 NCPDP

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