Cvs Pharmacy # 08763

LBN: Wisconsin Cvs Pharmacy Llc
Cvs Pharmacy # 08763 is an health care organization with primary practice located at 1650 N Farwell Ave , Milwaukee WI 53202-2331. 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) 277-5054, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
1650 N Farwell Ave Milwaukee WI 53202-2331
Phone: (414) 277-5054
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

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

Profile Details

NPI number 1376584243
LBN Legal business name Wisconsin Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 08763
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 7th, 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 1376584243 NPPES
Other 5128980 OTHER ID NUMBER-COMMERCIAL NUMBER

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