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Contact Information

NEW JERSEY CVS PHARMACY LLC
77 ROUTE 206
STANHOPE, NJ07874
 Phone: 973-426-0466
 Fax:
 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 NEW JERSEY CVS PHARMACY LLC

NPI # 1659474476
LBN Legal business name NEW JERSEY CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR, CONTRACT ADMINISTRATION)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2006
Last updated 10/10/2016 - About 10 years ago
Identifiers
NJ License # 4824
NJ Medicaid 0235989
Other 3134448 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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