Cvs Pharmacy #10772

LBN: Wisconsin Cvs Pharmacy, L.L.C.
Cvs Pharmacy #10772 is an health care organization with primary practice located at 535 E. Division Ave. , Barron WI 54812. 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) 637-0991, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
535 E. Division Ave. Barron WI 54812
Phone: (715) 637-0991
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 Wisconsin
Suppliers / Pharmacy 333600000X Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X Wisconsin

Profile Details

NPI number 1942686068
LBN Legal business name Wisconsin Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #10772
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2015
Last updated Oct 20th, 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 1942686068 NPPES
Wisconsin MEDICAID 100048533
Wisconsin Other 5134933

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