National Provider Identifier Database

PENNSYLVANIA CVS PHARMACY LLC
Pharmacy

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.


Contact Information

PENNSYLVANIA CVS PHARMACY LLC
101 REECESVILLE RD.
COATESVILLE, PA19320
Phone: 610-466-7166
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for PENNSYLVANIA CVS PHARMACY LLC

NPI Number 1063709442
Legal business name
LBN
PENNSYLVANIA CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/06/2011
Last updated 02/22/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1015538870396
  • PA Other: 3995682 NCPDP
  • PA Other: 1063709442 PACE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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