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, L.L.C.
5122 MILFORD RD.
EAST STROUDSBURG, PA18302
Phone: 401-765-1500
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, L.L.C.

NPI Number 1952590481
Legal business name
LBN
PENNSYLVANIA CVS PHARMACY, L.L.C.
Authorized official CRISTIANA MAURICIO - (MANAGER, PHARMACY ENROLLMENTS)
Entity Organization
Organization subpart No
Enumeration date 10/22/2007
Last updated 09/12/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1015538870019
  • Other: P00754678 MEDICARE RR
  • PA Other: 3989160 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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