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GEORGIA CVS PHARMACY L.L.C. NPI 1073796538


NPI Information

NPI: 1073796538
Provider Name: GEORGIA CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY # 00079

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2098 HIGHWAY 20 WEST
MCDONOUGH, GA
ZIP 30253
Phone: (770) 898-7356
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GEORGIA CVS PHARMACY, L.L.C. is a pharmacy in Mcdonough, GA. 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. GEORGIA CVS PHARMACY, L.L.C. NPI is 1073796538. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 00079.

The provider's business location address is:

2098 HIGHWAY 20 WEST
MCDONOUGH, GA
ZIP 30253
Phone: (770) 898-7356

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

The enumeration date for this NPI number is 12/7/2007 and was last updated on 3/8/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1718752831AMEDICAIDGEORGIA
21156694OTHERGEORGIACOMMERCIAL # NCPDP
35754010019MEDICARE NSCGEORGIA
4202G738984MEDICARE PIN

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: 5/5/2024

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