Cvs Pharmacy #17413

LBN: Wisconsin Cvs Pharmacy Llc
Cvs Pharmacy #17413 is an health care organization with primary practice located at 660 N Edwards Blvd , Lake Geneva WI 53147-4595. 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 Llc can be contacted via phone (262) 248-5611, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
660 N Edwards Blvd Lake Geneva WI 53147-4595
Phone: (262) 248-5611
Fax: (262) 248-5621
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8778042 Wisconsin

Profile Details

NPI number 1427242502
LBN Legal business name Wisconsin Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #17413
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2007
Last updated Dec 13th, 2016 - about 10 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 1427242502 NPPES
Other 2111055 PK

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