Cvs Pharmacy #08772

LBN: Wisconsin Cvs Pharmacy Llc
Cvs Pharmacy #08772 is an health care organization with primary practice located at 5740 S Packard Ave , Cudahy WI 53110-2659. 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. Wisconsin Cvs Pharmacy Llc can be contacted via phone (414) 483-5667, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
5740 S Packard Ave Cudahy WI 53110-2659
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan F

Health care specialties

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

Profile Details

NPI number 1346281219
LBN Legal business name Wisconsin Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #08772
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Jan 27th, 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 1346281219 NPPES
Other 5129108 OTHER ID NUMBER-COMMERCIAL NUMBER

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