National Provider Identifier Database

GEORGIA 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

GEORGIA CVS PHARMACY LLC
535 OAK ST
EASTMAN, GA31023
Phone: 478-374-4593
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for GEORGIA CVS PHARMACY LLC

NPI Number 1215030978
Legal business name
LBN
GEORGIA CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 09/07/2006
Last updated 09/08/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 004574
  • GA Medicaid: 000034977A
  • Other: 1116234 OTHER ID NUMBER-COMMERCIAL NUMBER

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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