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WOODWARD DETROIT CVS L.L.C. NPI 1386756229


NPI Information

NPI: 1386756229
Provider Name: WOODWARD DETROIT CVS, L.L.C.

Doing Business As: CVS PHARMACY #08055

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
18340 ALLEN RD
MELVINDALE, MI
ZIP 48122
Phone: (313) 928-2559
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WOODWARD DETROIT CVS, L.L.C. is a pharmacy in Melvindale, MI. 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. WOODWARD DETROIT CVS, L.L.C. NPI is 1386756229. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #08055.

The provider's business location address is:

18340 ALLEN RD
MELVINDALE, MI
ZIP 48122-560
Phone: (313) 928-2559
Fax: (313) 382-7189

The provider's authorized official is Susan Colbert .
The authorized official title is Director and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/5/2011.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy5301-004995MICHIGANYes

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
1P00959529MEDICARE PINMICHIGAN
21964226MEDICAIDMICHIGAN
35603870241MEDICARE NSCMICHIGAN
4MI3835MEDICARE PIN
52344303OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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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