NPI Database
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Contact Information

WOODWARD DETROIT CVS, L.L.C.
2240 CEDAR ST
HOLT, MI48842
 Phone: 517-694-1994
 Fax: 517-694-3830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WOODWARD DETROIT CVS, L.L.C.

NPI # 1225130560
LBN Legal business name WOODWARD DETROIT CVS, L.L.C.
Authorized official SUSAN COLBERT - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2006
Last updated 10/05/2011 - About 15 years ago
Identifiers
MI License # 5301-005097
MI Medicaid 1899736
Other 2343589 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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