<Unavail>
LBN: Woodward Detroit Cvs Llc
<Unavail> is an health care organization with primary practice located at 626 West Front St , Traverse City MI 49684-2210. 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.
Woodward Detroit Cvs Llc can be contacted via phone (231) 935-0185, or through Colbert, Susan F. via phone (401) 765-1500.
Contact Information
Primary practice address
626 West Front St
Traverse City MI 49684-2210
Phone: (231) 935-0185
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1386992204 |
|---|---|
| LBN Legal business name | Woodward Detroit Cvs Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Colbert, Susan F. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2012 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386992204 | NPPES |
| Michigan | Other | 5603870249 | MEDICATE NSC |
| Michigan | MEDICAID | 1386992204 | MEDICATE NSC |
| Michigan | Other | 2377100 | MEDICATE NSC |
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