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 L.L.C
500 POOLER PKWY
POOLER, GA31322
Phone: 912-748-5170
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 L.L.C

NPI Number 1578009130
Legal business name
LBN
GEORGIA CVS PHARMACY L.L.C
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 01/06/2017
Last updated 05/03/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 003185354A
  • GA Other: 1169184 NCPDP #

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.

Reviews for GEORGIA CVS PHARMACY L.L.C

There are currently no reviews for GEORGIA CVS PHARMACY L.L.C


NPIdb - Home
v2.201