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GARFIELD BEACH CVS LLC NPI 1063660066


NPI Information

NPI: 1063660066
Provider Name: GARFIELD BEACH CVS LLC

Doing Business As: CVS PHARMACY #17522

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
30340 HAUN RD
MENIFEE, CA
ZIP 92584
Phone: (951) 723-6152
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GARFIELD BEACH CVS LLC is a pharmacy in Menifee, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GARFIELD BEACH CVS LLC NPI is 1063660066. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #17522.

The provider's business location address is:

30340 HAUN RD
MENIFEE, CA
ZIP 92584-806
Phone: (951) 723-6152
Fax: (951) 723-6163

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 11/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY54103CALIFORNIANo
3333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12116811OTHERPK
25541620691MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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