Cvs Pharmacy # 06804
LBN: Woodward Detroit Cvs, Llc
Cvs Pharmacy # 06804 is an health care organization with primary practice located at 2010 E Apple Ave , Muskegon MI 49442-4348. 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 / Community/Retail Pharmacy is the primary health care specialty.
Woodward Detroit Cvs, Llc can be contacted via phone (231) 767-1122, or through Colbert, Susan F via phone (401) 765-1500.
Contact Information
Primary practice address
2010 E Apple Ave
Muskegon MI 49442-4348
Phone: (231) 767-1122
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 | 1750639415 |
|---|---|
| LBN Legal business name | Woodward Detroit Cvs, Llc |
| DBA Doing business as | Cvs Pharmacy # 06804 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 28th, 2012 |
| Last updated | Apr 20th, 2020 - about 6 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 | 1750639415 | NPPES |
| Michigan | MEDICAID | 1750639415 | |
| Michigan | Other | 2377112 |
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