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GERMAN DOBSON CVS LLC NPI 1912001801


NPI Information

NPI: 1912001801
Provider Name: GERMAN DOBSON CVS LLC

Doing Business As: CVS PHARMACY #05794

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 03D2285402

Address:
9069 W LAKE PLEASANT PKWY
PEORIA, AZ
ZIP 85382
Phone: (623) 376-0549
Get Directions

GERMAN DOBSON CVS LLC is a pharmacy in Peoria, AZ. 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. GERMAN DOBSON CVS LLC NPI is 1912001801. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #05794.

The provider's business location address is:

9069 W LAKE PLEASANT PKWY
PEORIA, AZ
ZIP 85382-361
Phone: (623) 376-0549

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

The CLIA number assigned to this NPI record is 03D2285402 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 7/12/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy3940ARIZONAYes

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
1Z134595MEDICARE PIN
25617310047MEDICARE NSC
30328181OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
4855009MEDICAIDARIZONA

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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